393620780-7-27-2023-53-CC-ESIA-CU5RKL-20230727130542

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393620780
Report Date: 07/27/2023
Date Signed: 07/27/2023 01:05:47 PM

Document Has Been Signed on 07/27/2023 01:05 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	DON AVENUE EARLY CARE & LEARNING CENTER		FACILITY NUMBER:	393620780
ADMINISTRATOR:	MAYRA MADRIGAL		FACILITY TYPE:	830
ADDRESS:	8121 DON AVENUE		TELEPHONE:	(209) 951-5201
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95209
CAPACITY:	12	CENSUS: 6	DATE:	07/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Mayra Madrigal		TIME COMPLETED:	01:15 PM

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On 07/27/23, Licensing Program Analyst (LPA) Elvira Sierra met with Director, Mayra Madrigal for the purpose of an unannounced annual inspection. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Census included six children supervised by two staff. This is a combination center of infant, and preschool children. The infant program uses classroom #1 only. Facility hour of operation are Monday through Friday 07:30AM to 05:30PM.

LPA toured the facility including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Toxic and hazardous items are inaccessible to children. Age-appropriate furniture and play equipment were observed to be in good repair. Infant changing stations were observed clean with essential supplies to clean and disinfect the changing area. The floors appeared clean throughout the facility. The food preparation space is free of litter and all food was protected against contamination. LPA observed that storage containers for solid waste and diaper disposal have tight-fitting covers. Parents provide infant's bottles, cups, diapers. Bottles are cleaned after every feeding. Per facility representative formula is provided by the center and/or parent can bring their own if prefer for particular or allergies reasons. Facility representative stated that infant's blankets are wash after every use and are provided by the center. Program provides baby food for infants who are on solids. Menus are posted in the classroom and drinking water was readily available to children both indoors and outdoors via pitcher and cups. LPA reviewed signing in/out sheets. LPA observed the infant's Needs and Services Plans are current and also reviewed sleeping logs. LPA observed functioning fire extinguisher, carbon monoxide/smoke detectors. Outdoor play is fenced for supervision. Playground equipment and surfaces were observed free of any hazards.

Two staff and five children's records were reviewed and are complete containing required licensing forms. At least one staff member present today has current Pediatric CPR and First Aid certification.

Report continues on subsequent page 809C--

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: DON AVENUE EARLY CARE & LEARNING CENTER	FACILITY NUMBER: 393620780
	VISIT DATE: 07/27/2023

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Facility representative 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 5 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.
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

LPA discussed the safe sleep regulations with facility representative 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. LPA also informed facility representative 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.

Facility representative 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.

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

Exit interview conducted and report was reviewed with the facility representative, Mayra Madrigal. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2023

LIC809 (FAS) - (06/04)

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