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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 390321278
Report Date: 01/20/2022
Date Signed: 01/20/2022 02:24:47 PM

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:SAN JOAQUIN DELTA COLLEGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
390321278
ADMINISTRATOR:COOK, NANCYFACILITY TYPE:
850
ADDRESS:5151 PACIFIC AVETELEPHONE:
(209) 954-5702
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:144CENSUS: 39DATE:
01/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Nancy CookTIME COMPLETED:
02:40 PM
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On Thursday, January 20,2022, Licensing Program Analyst (LPA) Elvira Sierra met with Facility Representative, Nancy Cook for the purpose of an unannounced annual inspection. Facility operates M-F from 7:30 AM to 4:00 PM.Upon arrival, LPA observed 39 children supervised by 11 staff members.

LPA conducted a health and safety inspection in all areas accessible to children and the following was observed; There are no poisons on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are age appropriate and in good repair. The floors appeared clean throughout the facility. Outdoor play area is free from dangerous conditions and play equipment is safe and free from loose or sharp parts. The areas around or under the climbing equipment are cushioned with bark to absorb a fall and there are trees providing shade. Per Facility Representative there are no firearms on the premises and no bodies of water were observed. Facility has at least one functioning smoke and carbon monoxide detector. Toileting facilities are in safe, sanitary, and operating condition and there are enough sinks and toilets for the children in care. Program provides breakfast, morning snacks and lunch. Facility has drinking fountains and also use water pitcher to provide drinking water. Sign in/out sheet were reviewed.

4 children files were reviewed. Each child's file contained the required documentation by regulation. Files for the staff present at the facility were reviewed. Staff have a criminal record clearance, health screening report, immunization records, documentation of the educational background, training, and/or experience. LPA reviewed the Department's inspection authority and discussed with staff any changes that may occur regarding Director/Site Supervisor or an employee acting in the director's absence must be reported to department within 10 working days.

Facility representative 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.

Report continues on subsequent 809-C.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022
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: SAN JOAQUIN DELTA COLLEGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 390321278
VISIT DATE: 01/20/2022
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Incidental Medical Services (IMS) were discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

Exit interview conducted and report was reviewed with the facility representative, Nancy Cook.

SUPERVISOR'S NAME: Bettina EngelmanTELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira SierraTELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:

DATE: 01/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/20/2022
LIC809 (FAS) - (06/04)
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