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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483006244
Report Date: 05/20/2019
Date Signed: 05/20/2019 12:50:02 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME:FAIRFIELD-SUISUN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
483006244
ADMINISTRATOR:WHEELER, STEPHANIEFACILITY TYPE:
850
ADDRESS:830 FIRST STREETTELEPHONE:
(707) 438-3684
CITY:FAIRFIELDSTATE: CAZIP CODE:
94533
CAPACITY:60CENSUS: 41DATE:
05/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Stephanie Wheeler, Program Director.TIME COMPLETED:
01:05 PM
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A annual inspection was made to the facility by Licensing Program Analyst (LPA) Kevin O'Connell. The facility file was reviewed prior to this visit. This facility is Title 5 and is finger print cleared through the Office of Education.
The facility is open Monday- Friday, 8:30am- 11:30am & 12:00pm to 3:00pm. lunch and snack is provided. Menus were posted. This center is licensed for 60 children with two classrooms. Forty one children were being supervised by four teachers and four aides.
The facility was toured inside and outside with the Program Director at 12:20 pm and the floor and yard plan submitted by the licensee were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. The Program Director states that there are no poisons on the premises. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors on the playground. The children's bathrooms are in safe and sanitary condition. Garbage containers containing solid waste have tight fitting lids. The LPA observed a working carbon monoxide detector and a charged fire extinguisher of at least 2A 10: BC or larger in each room. The playground equipment was in safe condition. There are wood chips for cushioning underneath climbing structures and/or play equipment to absorb falls. The Program Director states that there are no bodies of water and no weapons are stored on site and none were observed. At least one teacher who opens and closes had current First Aid and CPR certifications.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2019
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,
, CA
FACILITY NAME: FAIRFIELD-SUISUN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 483006244
VISIT DATE: 05/20/2019
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Ten children’s records were reviewed at 11:45am, and contained signed admission agreements. Six staff records were reviewed at 11:30am for Mandated Reporter Certificates, documentation of education and Immunizations. All were valid and current.
The sign-in/sign-out procedure was reviewed and in compliance.

Incidental Medical Services (IMS) policy was discussed. There is no IMS being administered at this time. 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

This report, as well as the AAP Guide to Safe Sleep, Safe Sleep in Childcare brochure, What does a Safe Sleep Environment Look Like brochure & Safe Sleep Concepts handout, were reviewed and discussed with the Program Director. The Effects of Lead Exposure brochure has been reviewed with and discussed with the Program Director. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.
Failure to keep this notice posted for 30 days may result in a civil penalty of $100.
No deficiencies were cited today.
SUPERVISOR'S NAME: Leslie LeporiTELEPHONE: (707) 588-5060
LICENSING EVALUATOR NAME: Kevin O'ConnellTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2019
LIC809 (FAS) - (06/04)
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