393620822-1-10-2020-53-CC-CJAN-BKPRMJ-20200110120848

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393620822
Report Date: 01/10/2020
Date Signed: 01/10/2020 12:08:54 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:	CAPC - MANTECA DAY		FACILITY NUMBER:	393620822
ADMINISTRATOR:	MEIHL, JADE		FACILITY TYPE:	850
ADDRESS:	737 WEST YOSEMITE AVENUE		TELEPHONE:	(209) 644-5311
CITY:	MANTECA	STATE: CA	ZIP CODE:	95336
CAPACITY:	32	CENSUS: 24	DATE:	01/10/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Victoria Brown		TIME COMPLETED:	12:15 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) Christopher Jackson conducted an unannounced, random annual inspection on 01/10/2020. LPA met with lead teacher Victoria Brown. Program Manager Renee Sandez arrived later in the inspection. A tour of the facility was conducted inside and outside. The following areas are in compliance during today's inspection. No excluded individuals are present. Staff subject to a criminal record clearance or exemption are associated to the facility. There are no bodies of water. Firearms and ammunition are not on the premises. Storage for poisons are locked. Disinfectants, hazardous items and medications are inaccessible to children. Furniture and equipment are sufficient, age appropriate and in good repair. Fire drills are conducted and documented at least once every six months. Carbon Monoxide and smoke detectors were present. LPA observed a dual carbon and smoke detector installed in the ceiling of the facility. The playground equipment and outdoor activity space is maintained and in good condition. Wood chips are being used as cushioning around the climbing equipment and level is sufficient to absorb a fall. LPA observed sign in front of structure noting the equipment is approved for children ages two thru five years. Children's toilets, hand washing facilities are sanitary. Floors are clean and free of debris. Food preparation area is clean. Trash containers for food waste are covered. All food and beverages are stored in covered containers and labeled. Program manager stated the food served in the program is brought in by Creative a third party agency. LPA observed drinking water is available indoors and lead teacher Brown stated a jug is used to provide water outside. Menus are posted. The facility is in compliance with conditions and limitations specified on the license. An electronic Sign in/sign out sheets are maintained. First Aid/CPR reviewed and in compliance. LPA observed CPR to expire on 06/2020 LPA conducted a review for six of the children's files in care. Three of the staff records were reviewed. During today's inspection LPA observed staff role modeling for children. LPA observed staff interacting with children with low tones and calm body language. LPA spoke with several children in care. All children spoken with enjoyed attending their school. Report Continues on 809-C

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher Jackson	TELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

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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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: CAPC - MANTECA DAY	FACILITY NUMBER: 393620822
	VISIT DATE: 01/10/2020

NARRATIVE

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This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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.

LPA discussed the Mandated Reporter Training with program manager. LPA reminded the program manager of the two year renewal requirement for the training. The OCAP modules are free of cost and available at: http://www.mandatedreporterca.com/. The training is currently provided in English. LPA observed training completion certificates in the staff files reviewed during today's inspection.

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

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the program manager and provided copies. An exist interview was conducted. LPA observed the Notice of Site Visit posted and the program manager understands it must remain posted for 30 days.

SUPERVISOR'S NAME: Sharon Ogbodo	TELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Christopher Jackson	TELEPHONE: (916) 216-8837
LICENSING EVALUATOR SIGNATURE:	DATE: 01/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020

LIC809 (FAS) - (06/04)

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