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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393616402
Report Date: 02/21/2024
Date Signed: 02/22/2024 02:43:57 PM

Document Has Been Signed on 02/22/2024 02:43 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:EL CONCILIO PRESCHOOLSFACILITY NUMBER:
393616402
ADMINISTRATOR:LINDA CRAIGFACILITY TYPE:
850
ADDRESS:224 SOUTH SUTTER STREETTELEPHONE:
(209) 337-7502
CITY:STOCKTONSTATE: CAZIP CODE:
95202
CAPACITY: 140TOTAL ENROLLED CHILDREN: 110CENSUS: 72DATE:
02/21/2024
TYPE OF VISIT:Case Management - IncidentANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Maribel GonzalezTIME COMPLETED:
03:45 PM
NARRATIVE
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This is an amended version of a report originally signed on 02/21/24.
On 02/21/24, Licensing Program Analysts (LPAs) Elvira Sierra and Janie Davis met with Site Supervisor, Maribel Gonzalez for an unannounced Case Management Inspection visit. Present in the facility were 12 staff and 72 children during today’s inspection.
The purpose of the inspection was explained and was to discuss an unusual incident that occurred on 01/26/24; 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. Facility reported that on 01/26/24 during bathroom break Staff #1 grabbed child #1 inappropriately by the arms. Site Supervisor stated that Staff #1 no longer works at the facility.

Refer to attached 809D for deficiency cited on this date. An exit Interview was conducted. A copy of the report and Appeal of Rights were provided and reviewed with Site Supervisor, Maribel Gonzalez. A Notice of Site Visit was posted.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2024
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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Document Has Been Signed on 02/22/2024 02:44 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 02/22/2024 06:48 AM


Created By: Elvira Sierra On 02/21/2024 at 02:34 PM
Link to Parent Document Below:
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: EL CONCILIO PRESCHOOLS
FACILITY NUMBER: 393616402

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/21/2024
Section Cited
CCR
101223(a)(3)

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This is an amended version of a report originally signed on 02/21/24.
101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, ……This requirement was not met as evidence by;
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POC; Site Supervisor stated staff #1 no longer work at the facility. Facility had a staff meeting after the incident; Personal Rights and discipline policies were discussed with staff. Site Supervisor will provide a copy of the agenda and signature page to LPA by the due date.
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Facility reported an incident that occurred on 01/26/24. It was reported that staff # 1 grabbed child # 1 inappropriately by the arms because child#1 was refusing to go to the bathroom. This is a violation that if not corrected can pose a risk to the health and safety to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Bettina Engelman
LICENSING EVALUATOR NAME:Elvira Sierra
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2024


LIC809 (FAS) - (06/04)
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