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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 390316994
Report Date: 08/29/2019
Date Signed: 08/29/2019 02:53:15 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:ST. LUKE'S CATHOLIC PRESCHOOLFACILITY NUMBER:
390316994
ADMINISTRATOR:LAURA RODRIGUEZFACILITY TYPE:
850
ADDRESS:4005 N. SUTTER STREETTELEPHONE:
(209) 465-5368
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY:72CENSUS: 37DATE:
08/29/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Laura Rodriguez, DirectorTIME COMPLETED:
03:10 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Charlotte Baney and Chayntel Hunter met with Director, Laura Rodriguez for the purpose of an unannounced Annual/Random inspection. LPAs observed care and supervision of 37 preschoolers supervised by 10 staff. LPAs toured the facility inside and out. LPAs observed that hazardous items (disinfectants, cleaning solutions etc.) were inaccessible to children in care. Facility days and hours of operation are Monday-Friday from 7:30 AM to 5:30 PM.

The facility serves an AM and PM snack. Parent's provide lunch for the children. LPAs observed all expiration dates to be current. LPAs reviewed care and supervision of children, staffing ratios, first aid supplies, furniture, equipment, fire drills and drinking water. LPAs observed all required forms to be posted. There are adequate toys and equipment available for children. Outdoor play area was toured, the play structure appeared to be in good repair, there is sufficient cushioning under the play structure.

LPAs reviewed the sign in/out book and observed that the children are properly signed in. All staff present during today's inspection have a fingerprint clearance. Staff files were reviewed. LPAs observed required documents, including employee rights, immunizations, current CPR and First Aid, AB1207 mandated reporter certificates and transcripts.

Incidental Medical Services (IMS) policy was discussed. Facility currently doesn't have any children that require an IMS plan at the time of inspection.

This facility evaluation report was reviewed and discussed with the Director. An exit interview was conducted. A Notice of Site Visit was provided and posted.

In the areas that were evaluated, no deficiencies were cited during the inspection.

SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Chayntel HunterTELEPHONE: (916) 917-8620
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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