390317652-11-16-2023-53-CC-CPRA-CXMU5K-20231116141651

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 390317652
Report Date: 11/16/2023
Date Signed: 11/16/2023 02:16:58 PM

Document Has Been Signed on 11/16/2023 02:16 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	MCKINLEY ELEMENTARY SCHOOL		FACILITY NUMBER:	390317652
ADMINISTRATOR:	HAGEDORN, JOAQUIN		FACILITY TYPE:	850
ADDRESS:	30 W. NINTH STREET, ROOM A		TELEPHONE:	(209) 933-7245
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95206
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 16	DATE:	11/16/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:26 PM
MET WITH:	Lead PM Teacher Lily Gutierrez		TIME COMPLETED:	02:40 PM

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On 11/16/23, Licensing Program Analyst Carla Polanco Rivera (LPA), met with Lead PM Teacher Lily Guitierrez, in room A. Today's visit was for the purpose of an unannounced annual inspection. During today's inspection there were 16 children present at start of inspection. LPA inspected classroom inside and out. Facility days and hours of operation are Monday- Friday, 8:15 AM-11:15 AM (morning program) & 12:00 PM-3:00 PM (afternoon program).

LPA reviewed and observed care and supervision of children, staffing ratios, first aid supplies, furniture, equipment and fire drills. There are adequate toys and equipment available for children. Outdoor play area was toured and appeared to be in good repair, there is sufficient cushioning under the play structures. Toileting facilities were in operating, safe, and sanitary condition. LPA observed all required forms to be posted. Menus were posted and drinking water was readily available to children. Meals are provided by the district and served to the children in the classroom.

LPA reviewed the sign in/out Binder in classroom and observed that children are properly signed in.

Staff and children's records were reviewed. Children's files contained an emergency card and consent for medical treatment. At least one staff member present has current Pediatric CPR and First Aid certification, (Exp. 10/2024 ).

Report Continued on LIC809-C.............

SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

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: MCKINLEY ELEMENTARY SCHOOL	FACILITY NUMBER: 390317652
	VISIT DATE: 11/16/2023

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All staff present are currently employed through the District and have a criminal record clearance, mandated reporter certificates, and documentation of the educational background, training, and/or experience. LPA observed health screening reports with TB test and required MMR and TDAP vaccines for staff members. Staff are required to renew Mandated Reporter training every 2 years, training is available through the www.mandatedreporterca.com website.

LPA reviewed storage of medication, and child personnel records. 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

Exit interview conducted and report was reviewed with Lead Teacher Lily Gutierrez. A notice of site visit was posted by LPA and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during the inspection.

SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

LIC809 (FAS) - (06/04)

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