<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 390321278
Report Date: 10/05/2023
Date Signed: 10/05/2023 11:05:22 AM

Document Has Been Signed on 10/05/2023 11:05 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: 29DATE:
10/05/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Laprice BrownTIME COMPLETED:
11:20 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 10/05/23, Licensing Program Analyst (LPA), Elvira Sierra met with Director, Laprice Brown for a follow up on an Unusual Incident Report (UIR) occurred on 09/05/23. During today's visit LPA inspected the facility and observed the care of supervision of children. Present in the facility were 13 staff supervising 29 children.

The facility reported the UIR to Community Care Licensing within 24hrs. A written UIR was submitted within 7 days, describing the specifics of the incident.


Facility evaluation report was reviewed and discussed with Director, Laprice Brown. Exit interview was conducted. A Notice of Site Visit posted 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 today's inspection.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2023
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 1