390320836-5-18-2022-53-CC-ESIA-CEK6YE-20220518211325

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 390320836
Report Date: 05/18/2022
Date Signed: 05/18/2022 09:13:32 PM

Document Has Been Signed on 05/18/2022 09:13 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	ST. BASIL PRESCHOOL		FACILITY NUMBER:	390320836
ADMINISTRATOR:	AKANE GREENE		FACILITY TYPE:	850
ADDRESS:	920 W. MARCH LANE		TELEPHONE:	(209) 478-5252
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	60	CENSUS: 41	DATE:	05/18/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Akane Green		TIME COMPLETED:	01:45 PM

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On Wednesday, May 18, 2022, at 09:10 am, Licensing Program Analyst (LPA) Elvira Sierra and Assistant Program Administrator, Chana Marie Wynne-Swan met with Director, Akane Green for the purpose of an unannounced annual inspection. Census included 41 preschool children supervised by 8 staff members who all have obtained a criminal record clearance through Community Care Licensing. Facility is in compliance with staff/child ratio on this day. Facility operates M-F from 07:30 am to 05:30 pm all year round.

LPA inspected all activity and classroom spaces, restrooms, and outdoor play areas for Health and Safety hazards. All required licensing postings were observed by the hallway of the facility. Classrooms are adequately ventilated. The floors appeared clean throughout the facility. Classrooms have age appropriate toys and equipment that are in good repair. There are cubbies for children belongings outside the classrooms. The facility has age appropriate furniture and sufficient napping equipment for the children in care. Restrooms are maintained clean, in good repair and with adequate supplies. Trash cans containing solid waste had lids. Cleaning products and Toxins are maintained inaccessible to children. First Aid Kit is maintained and properly stocked. Medications are stored in a locked box inaccessible to children in care in the Director's office. Director stated currently no children are on medication. LPA observed at least one functional smoke/carbon monoxide detector and a fully charged 2A:10BC fire extinguisher. Facility has a working telephone at the site. Director stated there are no poisons, or firearms on the premises. No bodies of water were observed. Outdoor activity space was inspected and areas around high climbing equipment have cushioning material to absorb falls. Facility offer drinking water by using water dispenser and each child have their own bottle water. Menus are posted for AM and PM snack and parents provide lunch for the children.

At 11:05 pm 10 children and 9 staff files were reviewed. At least one staff member present today has current Pediatric CPR and First Aid certification.

. Report continues on subsequent page 809C--

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: ST. BASIL PRESCHOOL	FACILITY NUMBER: 390320836
	VISIT DATE: 05/18/2022

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Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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

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/process.

A Notice of Site Visit was given and must remain posted for 30 days. Notice of Site Visit was posted by LPA. Exit interview conducted and report was reviewed with the Director, Akane Greene.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022

LIC809 (FAS) - (06/04)

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