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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500038
Report Date: 06/11/2021
Date Signed: 06/14/2021 08:57:27 AM

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:MCGILL, JONSI AND CHARLESFACILITY NUMBER:
394500038
ADMINISTRATOR:MCGILL, JONSI AND CHARLESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 323-4575
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY:14CENSUS: 8DATE:
06/11/2021
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Jonsi and Charles McGillTIME COMPLETED:
02:30 PM
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On 6/11/21 Licensing Program Analyst (LPA) Aruna Sridharan met with licensee Jonsi and Charles McGill to do annual inspection. LPA followed infection control protocols. Today's census was 6 preschool and 2 school aged children. All residents and staff present had fingerprint clearances.

A tour of the home, inside and outside, as shown on the facility sketch was conducted. Licensee states there are no weapons or firearms in the home. Off-limit rooms are: The entire upstairs laundry room and garage . Licensee acknowledges that children may never enter these off-limit areas. The backyard is fenced. The stairs are barricaded. Licensee stated there are no weapons in the home and LPA did not observe any bodies of water and no fireplace. LPA observed poisons, cleaning compound's, medications and other hazardous items are inaccessible to children. Fire extinguisher, carbon monoxide detector and smoke detector meet regulations. Safe toys and play equipment are observed. LPA observed all the required postings and reviewed child's records and staff records. Pediatric CPR/FA is current. Mandated reporter training is current. LPA reviewed children's roster and fire drill log.

The facility is following all the Covid precautions while providing care for children. LPA discussed the Safe Sleep regulations.

No Title 22 Deficiencies observed in the areas that were evaluated. LPA reviewed report with the Licensee and provided copies. An exit interview was conducted. Appeal rights provided. Notice of Site Visit was provided, and Licensee understands it must remain posted for 30 days.
SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5721
LICENSING EVALUATOR NAME: Aruna SridharanTELEPHONE: (916) 917-9273
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2021
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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