393622620-10-15-2019-53-CC-ASIS-BGYRHA-20191015130200

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393622620
Report Date: 10/15/2019
Date Signed: 10/15/2019 01:02:07 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:	MY CURIOUS MONKEY'S CHILDCARE (PS)		FACILITY NUMBER:	393622620
ADMINISTRATOR:	FRANCO, ELIZABETH		FACILITY TYPE:	850
ADDRESS:	475 DARLENE AVE		TELEPHONE:	(209) 832-5437
CITY:	TRACY	STATE: CA	ZIP CODE:	95377
CAPACITY:	28	CENSUS: 5	DATE:	10/15/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Patricia Santana		TIME COMPLETED:	01:15 PM

NARRATIVE

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Licensing Program Analyst (LPA) Alecia Sifuentes met with Director, Patricia Santana the purpose of an unannounced annual random inspection. The facility has a School Age option with a capacity of 12 which includes the total capacity of 28. Director was reminded never to exceed the conditions, limitations and capacity specified on the license. Census included five preschoolers being supervised by one staff member. Facility hours of operation are Monday through Friday from 6:00 AM to 6:00 PM.

LPA toured the building including all activity and classroom spaces, restrooms, food service, and outdoor play areas. Poisons are not kept on 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. The food preparation space is free of litter and all food was protected against contamination. LPA observed that storage containers for solid waste have tight-fitting covers. Program provides breakfast, morning snack, and afternoon snack. Menus were posted and drinking water was readily available to children both indoors and outdoors. LPA observed parents are signing in/out properly through the facility sign-in and out cards.

Two staff files and four children's records were reviewed. Each child's file contained an emergency card and medical assessment, and immunizations. At least one staff member present today has current Pediatric CPR and First Aid certification that expires on 3/2020. All staff currently employed with the facility have a criminal record clearance, health screening report, and documentation of the educational background, training, and/or experience. LPA reminded Director that 100% supervision is required at all times, including during nap time. LPA advised the Director on the new Safe Sleep Regulations and Effects of Lead.

Report continues on 809-C.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: (916) 917-9202
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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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: MY CURIOUS MONKEY'S CHILDCARE (PS)	FACILITY NUMBER: 393622620
	VISIT DATE: 10/15/2019

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There are no firearms or bodies of water on the premises. LPA observed a functional carbon monoxide detector. LPA reviewed the Department's inspection authority and discussed with Director any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within ten working days.

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.

LPA verified the annual fees are current.

This facility evaluation report was reviewed and discussed with Director. A Notice of Site Visit was provided and should remain posted for a period of 30 days for parental review. LPA provided the Child Care Advocates Program email address: childcareadvocatesprogram@dss.ca.gov. Director was encouraged to the visit the department's website at WWW.CCLD.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining child care centers.

In the areas that were evaluated, no deficiencies were observed at the time of the visit.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: (916) 917-9202
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

LIC809 (FAS) - (06/04)

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