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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393601451
Report Date: 04/23/2019
Date Signed: 04/23/2019 12:23:06 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:EL DORADO PRESCHOOLFACILITY NUMBER:
393601451
ADMINISTRATOR:GRIFFIN, BRENDAFACILITY TYPE:
850
ADDRESS:1540 NORTH LINCOLNTELEPHONE:
(209) 460-1824
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY:44CENSUS: 12DATE:
04/23/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Beatrice CamposTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Charlotte Baney met with the preschool teacher for an annual/random inspection. LPA toured the facility, including all activity/classrooms number 104 and room in a building called bungalow. Head start is in the bungalow and has been there since they were licensed. LPA toured the restrooms and outdoor play areas. LPA reviewed care and supervision of children, staffing ratios, health related services, including medications and first aid supplies, furniture, equipment, fire drills, drinking water and food service provisions. The facility operates two half day classrooms from 8:00 am to 11:25 am and 12:30 pm to 3:30 pm.
LPA observed all required forms to be posted. Facility stores medication in a lockbox. There are adequate toys and equipment available for children. The restrooms were observed to be in working. The facility provides breakfast for the morning class and Lunch for the afternoon class. Food is prepared at the school cafeteria. Menus were posted in the classroom.
LPA reviewed the sign/in-sign/out sheet, children's and personnel records. All reviewed children's files had admission agreements. LPA observed proof of education requirements for staff. At least one staff member present today has current Pediatric CPR and First Aid. All staff are immunized with the required vaccinations. All staff currently employed with the Center has criminal record clearances. Fire extinguisher, carbon monoxide detectors and smoke detector meet regulation.
This facility is providing Incidental Medical Services-IMS and have a plan of operation in place. LPA discussed IMS services and the requirement to update the plan of operation. Specifics on the plan can be found in the child care center evaluator manual (CCC EM) Policy 101173. LPA provided the Licensing Agency website www.ccld.ca.govthe director and/or staff may obtain updated licensing information, regulations, and forms.

The facility is in substantial compliance today. Exit interview conducted. Discussed and reviewed this annual report. Notice of Site Visit was posted.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Charlotte BaneyTELEPHONE: (916) 216-7791
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2019
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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