393615579-10-15-2019-53-CC-CBAY-BGYRVB-20191015132117

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393615579
Report Date: 10/15/2019
Date Signed: 10/15/2019 01:21:23 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:	MERRYHILL SCHOOL-TRINITY		FACILITY NUMBER:	393615579
ADMINISTRATOR:	TAMARA WELLS		FACILITY TYPE:	850
ADDRESS:	10250 TRINITY PARKWAY		TELEPHONE:	(209) 474-0518
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95219
CAPACITY:	163	CENSUS: 79	DATE:	10/15/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Tamara Wells		TIME COMPLETED:	01:30 PM

NARRATIVE

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Licensing Program Analyst (LPA) Charlotte Baney met with Director Tamara Wells for the purpose of an unannounced annual random inspection. Upon arrival, seventy nine (79) preschool children were present. This facility operates from 6:00 a.m. to 6:00 p.m. Monday thru Friday. The facility serves breakfast, lunch and two snacks. LPA toured the facility inside and out for a health and safety inspection. PHYSICAL PLANT- Cleaning supplies and hazardous items were inaccessible to children. Medications are stored in a safe place inaccessible to children in care. Outdoor activity space and equipment was in good repair. Areas around high climbing equipment had cushioning materials. Uncontaminated drinking water is available both indoors and outside. The facility has a working smoke detector and carbon monoxide detector that meets statutory requirements. Facility conducts fire drills. Facility has license, parent’s rights, emergency evacuation, and car seat safety posted. FACILITY ADMINISTRATION-All staff present today had a criminal background check clearance. This facility provides Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

EVALUATION OF CARE AND SUPERVISION- Visual supervision was observed during the visit. Capacity and ratio requirements were being met. FACILITY RECORDS REVIEW- Children’s records included admission agreements. Facility maintained electronic Sign In/Out Sheets. Staff records included a current CPR/First Aid. Staff records contained appropriate documentation of their education units.

LPA advised the director to visit the licensing at www.ccld.ca.gov for current forms, laws, regulations and legislation. Based upon today’s evaluation and inspection no Title 22 deficiency was cited

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Charlotte Baney	TELEPHONE: (916) 216-7791
LICENSING EVALUATOR SIGNATURE:	DATE: 10/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019

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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