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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393619989
Report Date: 02/22/2023
Date Signed: 02/22/2023 09:44:07 AM

Document Has Been Signed on 02/22/2023 09:44 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 SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:HARVEST PRESCHOOL AND CHILD CAREFACILITY NUMBER:
393619989
ADMINISTRATOR:CHRISTINA HINEFACILITY TYPE:
850
ADDRESS:10088 N HWY 99TELEPHONE:
(209) 751-4451
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY: 40TOTAL ENROLLED CHILDREN: 45CENSUS: 30DATE:
02/22/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Christina HinesTIME COMPLETED:
10:15 AM
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Application Specialist (AS) Alecia Sifuentes met with Director, Christina Hine for the purpose of a case management inspection. Licensee requests to remove the toddler option program and only serve 40 preschool children from age two to entry into kindergarten. The program currently operates Monday through Friday from 6:30 a.m. to 5:30 p.m.

INDOOR ACTIVITY SPACE:
There are four classrooms. AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. AS used current measurements. The total classroom space contains a total of 1,589 square feet, which will accommodate Licensee's request for 40 preschool children. There are 3 toilets and 3 sinks for the children, and a separate private restroom for the staff.

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. AS used current outdoor measurements. The outdoor play area contains a total of 4,511 square feet, which will accommodate Licensee’s request for 40 preschool children.

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Report continues on LIC809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2023
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 SOUTH, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: HARVEST PRESCHOOL AND CHILD CARE
FACILITY NUMBER: 393619989
VISIT DATE: 02/22/2023
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A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Director, Christina Hine.

The following items are required before the change of capacity will be approved:
1. Granted fire clearance (STD850)
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/22/2023
LIC809 (FAS) - (06/04)
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