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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 390321278
Report Date: 09/13/2023
Date Signed: 09/13/2023 11:23:52 AM

Document Has Been Signed on 09/13/2023 11:23 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:SAN JOAQUIN DELTA COLLEGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
390321278
ADMINISTRATOR:BROWN LAPRICEFACILITY TYPE:
850
ADDRESS:5151 PACIFIC AVENUETELEPHONE:
(209) 954-5702
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY: 144TOTAL ENROLLED CHILDREN: 50CENSUS: 34DATE:
09/13/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Laprice BrownTIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Elvira Sierra met with Director, Laprice Brown for an unannounced Case Management inspection. Present in the facility were 8 staff and 2 students from San Joaquin Delta College caring for 33 children during today inspection. One more child arrived during the inspection.

The purpose of the inspection was explained and was to discuss an unusual incident that occurred on 09/05/23; which was self reported to the department by the facility. During today’s inspection, LPA observed the care and supervision of children, conducted interviews with staff, and reviewed pertaining documents. Due to insufficient information available at this time, incident needs further investigation.

An exit Interview was conducted in which the report was reviewed and discussed with Director, Laprice Brown. A copy of the report was provided to Director and a notice of site visit was posted.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2023
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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