390319156-9-15-2023-53-CC-ESIA-CVPPNX-20230915112840

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 390319156
Report Date: 09/15/2023
Date Signed: 09/15/2023 11:28:45 AM

Document Has Been Signed on 09/15/2023 11:28 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:	OAKWOOD STATE PRESCHOOL		FACILITY NUMBER:	390319156
ADMINISTRATOR:	WORTHY,MISTY/XIONG,LINDA		FACILITY TYPE:	850
ADDRESS:	1315 WOODCREEK WAY		TELEPHONE:	(209) 953-8399
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95209
CAPACITY: 46	TOTAL ENROLLED CHILDREN: 22	CENSUS: 17	DATE:	09/15/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Misty Worthy		TIME COMPLETED:	11:40 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	On 09/15/23 , Licensing Program Analyst (LPA) Elvira Sierra met with Site Supervisor, Misty Worthy for the purpose of an unannounced annual inspection. Facility Representative was reminded never to exceed the conditions, limitations, and capacity specified on the license. Facility is a preschool program that operates inside the Oakwood Elementary school grounds in portable #38. Facility is a Head start program and operates M-F from 08:05am to 02:05pm. Per facility representative portable #37 (State) is not longer in use and is permanently closed. LPA observed two staff caring for 17 preschool children. Facility meets teacher/child ratio today. LPA inspected all activity and classroom spaces, restrooms, food service, and outdoor area. Classrooms have age-appropriate toy and reading material. Toxic and hazardous items are inaccessible to children. Furniture and equipment are in good condition. Facility has a fire extinguisher that meets the minimum requirements, operating smoke and a carbon monoxide detector were observed. Restrooms were observed clean and with adequate supplies. Staff uses a separate restroom. There are not children currently that requires medication. Emergency supplies are available and maintained. First Aid Kit is properly maintained and kept inaccessible to children. Outdoor activity space surface was observed free of any dangerous conditions and the playground equipment is in good repair. Synthetic artificial ground covers the playground for cushion. Drinking water was readily available to children both indoors and outdoors. The center provides breakfast,and lunch. Parents donate snacks. Meals are prepared at the cafeteria central kitchen. Menus are posted, updated and available for public view. Fire Drills are conducted monthly and are properly logged. Five children and two staff files were reviewed on this day. All staff present today have current pediatric CPR and First Aid training. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. ---Report continues on subsequent page 809C--

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

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: OAKWOOD STATE PRESCHOOL	FACILITY NUMBER: 390319156
	VISIT DATE: 09/15/2023

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

Facility representative 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

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

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
Notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Misty Worthy.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2