393621963-8-24-2021-53-CC-ESIA-C67UQN-20210824154723

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393621963
Report Date: 08/24/2021
Date Signed: 08/24/2021 03:55:18 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:	TEAM CHARTER SCHOOL		FACILITY NUMBER:	393621963
ADMINISTRATOR:	VALLEJO, DEBORAH		FACILITY TYPE:	850
ADDRESS:	600 E MAIN STREET		TELEPHONE:	(209) 462-2282
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95202
CAPACITY:	30	CENSUS: 16	DATE:	08/24/2021
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Keeley Burke		TIME COMPLETED:	03:15 PM

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Licensing Program Analysts (LPA) Elvira Sierra met with Director, Kaley Burke and Program Coordinator, Richelle Dials for the purpose of an unannounced annual inspection. Staff was reminded never to exceed the conditions, limitations, and capacity specified on the license. Upon arrival, LPA observed 16 children supervised by 3 staff members. Facility operates inside the Team Charter school campus, M-F 06:30 am to 06:00 pm.

LPA toured classroom restrooms, and outdoor play areas. Currently, no children in care require medication. Staff stated there are no poisons on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Playground equipment and surfaces are free of loose or sharp parts. The floors appeared clean throughout the facility. Program provides breakfast, lunch and afternoon snacks. Menus were posted by the main entrance of the facility. Facility offer drinking water by using water dispenser and disposable cups. Sign in/out sheet were reviewed.

A random sample of children files were reviewed. Each child's file contained an emergency card, and a medical assessment. At least one staff member present today has current Pediatric CPR and First Aid certification. Staff have a criminal record clearance, health screening report, mandated reporter training, immunization records, and documentation of the educational background, training, and/or experience. LPA observed a functional carbon monoxide, and a smoke detector. LPA reviewed the Department's inspection authority and discussed with staff any changes that may occur regarding Director/Site Supervisor or an employee acting in the director's absence must be reported to department within 10 working days.

Report continues on 809-C.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021

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: TEAM CHARTER SCHOOL	FACILITY NUMBER: 393621963
	VISIT DATE: 08/24/2021

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Facility has license and other required documents posted by the entrance of the classroom area and are visible for public review. Also facility has COVID-19 information posted outside and inside the facility.

Incidental Medical Services (IMS) policy was discussed. 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 Lead Exposure brochures was provided to Staff..

This facility evaluation report was reviewed and discussed with Staff. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. Staff was encouraged to visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

An exit interview was conducted and in the areas that were evaluated, no deficiencies were observed at the time of the inspection.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2021

LIC809 (FAS) - (06/04)

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