394500354-2-22-2023-53-CC-ESIA-CPAVZE-20230222155237

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 394500354
Report Date: 02/22/2023
Date Signed: 02/22/2023 03:52:44 PM

Document Has Been Signed on 02/22/2023 03:52 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	CAMPUS II, INC, THE		FACILITY NUMBER:	394500354
ADMINISTRATOR:	MEGHAN GODDARD		FACILITY TYPE:	830
ADDRESS:	6311 PACIFIC AVE		TELEPHONE:	(209) 951-5437
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 20	CENSUS: 12	DATE:	02/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Tyanne Woodyard-Smith		TIME COMPLETED:	01:00 PM

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On 02/22/23 Licensing Program Analyst (LPA) Elvira Sierra met with Director Assistant, Tyanne Woodyard-Smith for the purpose of an unannounced annual inspection. Facility representative was reminded never to exceed the conditions, limitations and capacity specified on the license. Census included 7 infants being supervised by 3 staff members and one volunteer. 5 infants arrived later during the inspection. Facility hours of operation are Monday through Friday from 700 AM to 6:00 PM. Facility operates as a combination center with a preschool program on site.

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, and cups. Bottles are cleaned after every feeding. Per facility representative formula is provided by the center and/or parent can bring their own. 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 indoor and outdoors. LPA observed parents are signing in/out properly through the electronic sign in/out system. 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 are is fenced for supervision. Playground equipment and surfaces were observed free of any hazards.

Staff and 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 809-C.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: CAMPUS II, INC, THE	FACILITY NUMBER: 394500354
	VISIT DATE: 02/22/2023

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Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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 Child Care Centers Sections 101173 and 101226.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 safe sleep regulations 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 licensee [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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process

A notice of site visit was posted and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Tyanne Woodyard-Smith..

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:	DATE: 02/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023

LIC809 (FAS) - (06/04)

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