573622022-8-10-2023-53-CC-ASIS-CUKNBZ-20230810101957

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 573622022
Report Date: 08/10/2023
Date Signed: 08/10/2023 10:20:02 AM

Document Has Been Signed on 08/10/2023 10:20 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:	YCOE PLAINFIELD		FACILITY NUMBER:	573622022
ADMINISTRATOR:	SANDRA HERNANDEZ		FACILITY TYPE:	850
ADDRESS:	20450 COUNTY ROAD 97		TELEPHONE:	(530) 668-3050
CITY:	WOODLAND	STATE: CA	ZIP CODE:	95695
CAPACITY:	24	CENSUS:	DATE:	08/10/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Shannon McClarin		TIME COMPLETED:	10:30 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 (LR) Shannon McClarin for the purpose of a case management inspection. Licensee has extended the fencing of the outdoor activity space. Licensee is not making any changes to the licensed capacity. The preschool program is located at Plainfield Elementary School. The program operates Monday through Friday from 7:15 a.m. to 4:15 p.m. OUTDOOR ACTIVITY SPACE: There is one outdoor area on the property. The outdoor play area is fenced with a chain link fence that is at least four feet tall and separates the preschool yard from the elementary yard. AS observed a sufficient amount of equipment and toys. The play structure includes a safety label, which designates use for children 2 to 5 years old. There are no bodies of water on the premises. There are shaded areas supplied by trees, overhangs, and canopy. AS measured the outdoor activity space. The outdoor play area contains a total of 2,202 square feet, which will accommodate the current licensed capacity of 24 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). LR 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: 08/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023

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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: YCOE PLAINFIELD	FACILITY NUMBER: 573622022
	VISIT DATE: 08/10/2023

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LR 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 Licensee Representative (LR), Shannon McClarin.

Effective today, 8/10/2023, AS will approve the updated outdoor activity space.

SUPERVISOR'S NAME: Jeanne Smith	TELEPHONE: (916) 208-4405
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: (916) 917-9202
LICENSING EVALUATOR SIGNATURE:	DATE: 08/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2023

LIC809 (FAS) - (06/04)

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