393610766-5-10-2019-53-CC-MPOE-BC2RDC-20190510125544

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393610766
Report Date: 05/10/2019
Date Signed: 05/10/2019 12:55:50 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:	ART FREILER PRESCHOOL		FACILITY NUMBER:	393610766
ADMINISTRATOR:	ASBRA, STACIE		FACILITY TYPE:	850
ADDRESS:	2421 W LOWELL STREET		TELEPHONE:	(209) 835-1869
CITY:	TRACY	STATE: CA	ZIP CODE:	95377
CAPACITY:	48	CENSUS: 27	DATE:	05/10/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Rachel		TIME COMPLETED:	01:15 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	Licensing Program Analyst (LPA) Mary Ponce and Marissa Soto met with Director Rachel Hartland for an unannounced annual inspection. Today’s census was 27 children and 5 staff members, who have all been finger-print cleared through Community Care Licensing. LPA toured the facility including all activity/classroom areas, food service area and restrooms. LPA observed the food preparation area is kept clean and sanitized and the restrooms are safe and sanitary. The Director stated that the facility provided morning snack; LPA observed a current menu posted in the parent area. LPA observed that at least one staff member present during today’s inspection has a current Pediatric CPR/First Aid that expires on 09/30/2019. LPA observed that poisons are locked, cleaning compounds are inaccessible to children and the Director stated there are no firearms or bodies of water on the property. LPA reviewed care and supervision of children and staffing ratios, there is one teacher for every 12 children in care. There are no medications in the facility. LPAs reviewed 5 children’s files and observed that each child had their Identification/Emergency Information and the Consent for Medical Treatment form filled out and signed by their authorized representative. LPA also reviewed 8 staff's educational background /transcripts, and the facility has the appropriate staffing that meet the educational requirements. LPAs also observed that all staff are immunized for MMR and Tdap. LPAs observed that outdoor activity space surfaces are free of hazards, playground equipment is in safe condition and drinking water is made readily available to children both indoors and outdoors.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Mary Ponce	TELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019

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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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: ART FREILER PRESCHOOL	FACILITY NUMBER: 393610766
	VISIT DATE: 05/10/2019

NARRATIVE

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LPA observed a working Carbon Monoxide Detector and the program is conducting fire drills every month. LPA discussed Departments inspection authority regulations with the Director and informed her that if any changes occur regarding the Designee/Director or an employee acting in their absence must be reported to Department within 10 working days. LPA also discussed Unusual Incident Reports (UIRs) and reporting requirements. LPA informed the Director that if any unusual incidents occur she must contact the Department within 24 hours and an UIR must be submitted with 7 day, describing the specifics to the incident.

LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised the licensee of their responsibility to stay current in regards to new regulations.

The program is not Providing Incidental Medical Services (IMS); however there is an IMS plan on file at the Sacramento Regional Office.

No Title 22 deficiencies were cited during today's inspection. Appeal Rights and Notice of Site Visit were provided. Notice of Site Visit must remain posted for 30 days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Mary Ponce	TELEPHONE: 916-263-5744
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2019

LIC809 (FAS) - (06/04)

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