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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393607697
Report Date: 07/16/2020
Date Signed: 07/16/2020 04:34:35 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:SOUTH SCHOOL CHILD DEVLOPMENT CENTERFACILITY NUMBER:
393607697
ADMINISTRATOR:ARENS, JANFACILITY TYPE:
840
ADDRESS:500 WEST MOUNT DIABLOTELEPHONE:
(209) 834-1725
CITY:TRACYSTATE: CAZIP CODE:
95376
CAPACITY:70CENSUS: 13DATE:
07/16/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Jan ArensTIME COMPLETED:
03:11 PM
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Due to the COVID-19 pandemic, Licensing Program Analyst (LPA) Stacey Williams conducted a Case Management Tele-Visit via FaceTime Video Conferencing with Administrator, Jan Arens on July 16, 2020 in lieu of conducting an on site inspection. Ms. Arens guided LPA on a Tele-Visit tour throughout the facility. Today’s census thirteen children supervised by three teachers. LPA observed all teachers and children wearing masks.

The purpose of today’s inspection was to discuss best practices and the COVID-19 Updated Guidance concerning social distancing and wearing masks for adults and children per the Governors order. LPA discussed the measures currently being taken by the facility concerning face masks and social distancing. LPA advised staff to continue to stay abreast to local county and state ordinances concerning COVID-19 best practices in a childcare setting.

In the areas that were evaluated there were no deficiencies observed.


Exit interview conducted and appeal rights were discussed. A copy of this report, Notice of Site Visit, and appeal rights were emailed to the Administrator, Jan Arens. Hard copy of the report with signature will be on file.

SUPERVISOR'S NAME: Maria MayorgaTELEPHONE: (916) 263-1414
LICENSING EVALUATOR NAME: Stacey WilliamsTELEPHONE: (916) 216-7797
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2020
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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