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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500319584
Report Date: 11/22/2019
Date Signed: 11/22/2019 12:33:19 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RIVERBANK HEAD STARTFACILITY NUMBER:
500319584
ADMINISTRATOR:HOTCHKISS, JEWELEEFACILITY TYPE:
850
ADDRESS:6200 CLAUS ROADTELEPHONE:
(209) 869-7005
CITY:RIVERBANKSTATE: CAZIP CODE:
95367
CAPACITY:41CENSUS: 0DATE:
11/22/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Jewelee HotchkissTIME COMPLETED:
01:00 PM
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LPA Claudia Henley conducted an annual random inspection #3 today. I was met by Jewelee Hotchkiss. This child care center is located on the premises of Riverbank High School in Rooms 2 & 3. There were no children present today. The following areas are in compliance during this visit: There are no bodies of water. Disinfectants, hazardous items and medications are inaccessible to children. Medications were present at the facility and are stored and maintained per Title 22 Regulations. Furniture and equipment are sufficient, age appropriate and in good repair. The playground equipment and outdoor activity space is maintained and in good condition. There is adequate amount of rubber bark cushioning under all of the climbing structures. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination. Fire/Disaster drill conducted on October 30, 2019. The facility is in compliance with conditions and limitations specified on the license. Teacher/child ratios are maintained and adequate supervision is being provided during this visit. Fingerprint clearances not reviewed as Stanislaus County Office of Education uses its own system for fingerprints. First aid/CPR reviewed and in compliance. Sign in/sign out sheets maintained. Staff and children's files were reviewed. Incidental Medical Services Plan is on file with the department. The child care center hours/days of operation are: Monday through Thursday, 7:30 a.m. to 2:30 p.m. and every other Friday from 7:30 a.m. to 11:00 a.m.

No deficiencies were cited during the visit today.

Site Visit Notice posted on the parent board. Exit interview was conducted.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
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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