393601436-9-22-2023-53-CC-TDIP-CVWTTP-20230922150103

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393601436
Report Date: 09/22/2023
Date Signed: 09/22/2023 03:01:17 PM

Document Has Been Signed on 09/22/2023 03:01 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 SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	ARTESI III MIGRANT INF. CHILD DEV. CTR.-W. MATHEWS		FACILITY NUMBER:	393601436
ADMINISTRATOR:	DELIA CORTEZ		FACILITY TYPE:	830
ADDRESS:	333 WEST MATHEWS ROAD		TELEPHONE:	(209) 982-0520
CITY:	FRENCH CAMP	STATE: CA	ZIP CODE:	95231
CAPACITY:	30	CENSUS: 8	DATE:	09/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Delia Cortez		TIME COMPLETED:	03:15 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 09/22/2023 at 10:00 AM, Licensing Program Analysts (LPAs) Tiffanie Diep and Elizabeth Santiago met with Director Delia Cortez for the purpose of an unannounced annual inspection, and Director guided LPAs on a tour of the facility. LPAs observed six staff supervising eight children. Facility days and hours of operation are Monday through Friday from 7:00 AM to 4:00 PM. LPAs verified that annual fees are current. All individuals subject to a criminal record review have obtained a criminal record clearance. Director 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 five 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. A health and safety inspection of the facility’s interior and exterior was conducted. LPAs reviewed the sign-in/out sheets and observed that children were properly signed in/out. LPAs observed the required postings. LPAs reviewed staffing ratios, first aid supplies, furniture, equipment, fire drills, and access to drinking water. LPAs reviewed storage of refrigerated bottles which were properly dated and labeled with children’s names. LPAs observed cribs were available for each infant under 12 months old and cots were available for infants over 12 months old. LPAs observed a changing table within arm’s reach of the sink. LPAs verified that hazardous items (disinfectants, cleaning solutions, etc.) were inaccessible to children in care. LPAs observed both smoke and carbon monoxide detectors were functional. LPAs observed adequate age-appropriate toys and equipment available for children. Continues on 809-C

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: Tiffanie Diep	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

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
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ARTESI III MIGRANT INF. CHILD DEV. CTR.-W. MATHEWS	FACILITY NUMBER: 393601436
	VISIT DATE: 09/22/2023

NARRATIVE

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Continued from 809 (Page 2)

LPAs referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

LPAs reviewed children’s files and verified each child’s file contained required documents, including a needs and services plan and emergency information. LPAs reviewed staff’s files and observed required documents, including health screening reports with TB clearance and required immunizations. LPAs verified at least one staff member present has current pediatric CPR and first aid certification which expires on 09/09/2025. LPAs verified all staff have current Mandated Reporter Training certificates.

LPAs discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPAs also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. LPAs observed 15-minute napping logs for infants under 24 months and a copy of the Individual Sleeping Plan (LIC 9227) for infants under 12 months during the inspection.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at https://www.ada.gov/resources/child-care-centers/.

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: Tiffanie Diep	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ARTESI III MIGRANT INF. CHILD DEV. CTR.-W. MATHEWS	FACILITY NUMBER: 393601436
	VISIT DATE: 09/22/2023

NARRATIVE

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Continued from 809-C (Page 3)

To improve the quality and value of the new inspection process, a survey may be sent to the e-mail address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE Tool, please send e-mail inquiries 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. Director 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.

There were no deficiencies cited at this time. An exit interview was conducted and report was reviewed with the director, Delia Cortez. A notice of site visit was given to Director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Chayntel Hunter	TELEPHONE: (916) 917-8620
LICENSING EVALUATOR NAME: Tiffanie Diep	TELEPHONE: (916) 263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2023

LIC809 (FAS) - (06/04)

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