553616388-8-31-2023-53-CC-ASIS-CV8NTS-20230831104514

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 553616388
Report Date: 08/31/2023
Date Signed: 08/31/2023 10:45:20 AM

Document Has Been Signed on 08/31/2023 10:45 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	SIERRA WALDORF SCHOOL		FACILITY NUMBER:	553616388
ADMINISTRATOR:	HINKEL, BRANDY		FACILITY TYPE:	850
ADDRESS:	19234 RAWHIDE ROAD		TELEPHONE:	(209) 984-0454
CITY:	JAMESTOWN	STATE: CA	ZIP CODE:	95370
CAPACITY:	66	CENSUS: 0	DATE:	08/31/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Brandy Hinkel		TIME COMPLETED:	11:00 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Application Specialist (AS) Alecia Sifuentes met with Licensee Representative/Director Brandy Hinkel for the purpose of a case management inspection. Licensee requests a room change. Licensee is not making any changes to the licensed capacity. The preschool program is located at Sierra Waldorf Elementary School. The program currently operates Monday through Friday from 8:00 a.m. to 5:00 p.m. The fire clearance was granted and received on 8/25/2023. INDOOR ACTIVITY SPACE: There are four preschool portables. Director stated that preschool portable named Moss Rose was removed and replaced with a new portable. AS used current measurements for preschool portables named Red Rose, White Rose, and Sweat Pea from report dated 6/30/2022. AS measured preschool portable Moss Rose. The total classroom space contains a total of 2,492 square feet, which will accommodate the current licensed capacity of 66 preschool children. There are seven toilets and nine sinks for the children. There is a separate private restroom for the staff located in the bathroom building. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated. Report continues on LIC809-C.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: (916) 917-9202
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SIERRA WALDORF SCHOOL	FACILITY NUMBER: 553616388
	VISIT DATE: 08/31/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Brandy Hinkel.

Effective today, 8/31/2023, AS will approve the room change.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: (916) 917-9202
LICENSING EVALUATOR SIGNATURE:	DATE: 08/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2