390317608-11-5-2024-53-CC-DNGN-DAQSZG-20241105131908

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 390317608
Report Date: 11/05/2024
Date Signed: 11/05/2024 01:19:34 PM

Document Has Been Signed on 11/05/2024 01:19 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	GRUNSKY ELEMENTARY SCHOOL		FACILITY NUMBER:	390317608
ADMINISTRATOR/ DIRECTOR:	NATALIE MEJIA CARRILLO		FACILITY TYPE:	850
ADDRESS:	1550 N. SCHOOL		TELEPHONE:	(209) 953-4750
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95205
CAPACITY: 44	TOTAL ENROLLED CHILDREN: 45	CENSUS: 25	DATE:	11/05/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Carrillo, Natalie Mejia		TIME VISIT/ INSPECTION COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On November 5^th, 2024, at 9:30 AM, Licensing Program Analysts (LPAs), David Nguyen and Deborah Khashe met with facility representative, Natalie Mejia Carrillo for the purpose of an unannounced annual inspection. The purpose of the unannounced annual inspection was explained. LPAs Nguyen and Khashe were granted entrance by facility representative. Facility days and hours of operation for the State Preschool Classrooms are Monday through Friday from 8:00 AM to 11:00 AM for AM session and from 12:00 PM - 3:00 PM for PM session. Facility days and hours of operation for the Head Start Preschool Classroom are Monday through Friday from 8:15 AM to 2:15 PM. Grunsky Elementary School operates between August and May every year. There were ten (10) children present in the AM State Preschool class during today’s inspection and fifteen (15) children present in the State Preschool class during today's inspection. Meals—breakfast and lunch were provided to children in care and brought by Stockton Unified School District. Filtered water was provided for drinking water. LPA verified license annual fees are current. LPAs toured the facility inside and out. LPAs observed that hazardous items (disinfectants, cleaning solutions etc.) were inaccessible to children in care. LPAs reviewed staffing ratios, first aid supplies, furniture, equipment, fire drills and drinking water. During the inspection, the water container used for children's drinking water was dirty. The lid was soiled with dirt and grime. Upon inspection of the inside of the water container, debris was noticed on the bottom of the container. Water was emptied, and the debris appeared to be like sand or dirt. Facility representative stated that childcare teachers used water cooler and disposable cups for drinking water during outdoor playtimes. LPAs observed all required forms to be posted. LPAs observed functioning carbon monoxide and smoke alarms. There are adequate toys and equipment available for children. Outdoor play area was toured, the play structure appeared to be in good repair, and there is sufficient cushioning (cushioned turf) under the play structure. LPAs reviewed the sign in/out book and observed that the children are properly signed in. Report continues on LIC809-C...(Page 2)

Chayntel Hunter	TELEPHONE: (916) 917-8620
David Nguyen	TELEPHONE: (916) 263-5744
	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GRUNSKY ELEMENTARY SCHOOL	FACILITY NUMBER: 390317608
	VISIT DATE: 11/05/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(Page 2)
LPAs reviewed children’s and staff files. All staff present during today's inspection have a fingerprint clearance. Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs observed health screening reports with TB test and required MMR and TDAP vaccines. At least one staff member present today has current Pediatric CPR and First Aid. LPAs observed AB1207 Mandated Reporter training certificates for all staff. Facility representative was reminded to renew the course every 2 years through www.mandatedreporterca.com website.

This facility is not currently providing Incidental Medical Services (IMS). For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

LPA discussed the Year-Round/Daily Reminder of Water Safety Requirements and Measures with facility representative. LPA provided licensee the PIN 23-17-CCLD, the Year-Round and Daily Reminder of Water Safety Requirements and Measures. LPA stressed the importance of checking the premises for bodies of water daily prior to children’s arrival to improve children’s safety.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

Report continues on LIC809-C...(Page 2)

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David Nguyen	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GRUNSKY ELEMENTARY SCHOOL	FACILITY NUMBER: 390317608
	VISIT DATE: 11/05/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(Page 3)
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with facility representative, Natalie Mejia Carrillo. Appeal rights and a notice of site visit were provided. A copy of this report will remain on file for a period of three years for public review upon request. Facility representative’s signature on this form acknowledges receipt of this form. A notice of site visit was posted and must remain posted for 30 days for parental review. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, one (1) Type-B citation was cited during the inspection.

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: David Nguyen	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 11/05/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 11/05/2024 01:19 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: GRUNSKY ELEMENTARY SCHOOL	FACILITY NUMBER: 390317608
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/05/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

Drinking Water

(a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	The water container used for children's drinking water was dirty. The lid was soiled with dirt and grime. Upon inspection of the inside of the water container, debris was noticed on the bottom of the container. Water was emptied, and the debris appeared to be like sand and dirt. Based on observation, the licensee did not comply with the section cited above in which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/05/2024
	Plan of Correction
1 2 3 4	Facility representative agreed to clean the water containers both inside and outside, including the spigots and handles used for children's drinking water daily. Facility representative also agreed to address the issuse of providing clean drinking water to children daily. Facility representative agreed to submit to LPA the staff meeting minutes or agenda with attending staff signatures to LPA.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Chayntel Hunter	TELEPHONE: (916) 917-8620
David Nguyen	TELEPHONE: (916) 263-5744
	DATE: 11/05/2024

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2024

LIC809 (FAS) - (06/04)

Page: 4 of 4