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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393619989
Report Date: 01/02/2024
Date Signed: 01/02/2024 11:19:34 AM

Document Has Been Signed on 01/02/2024 11:19 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:HARVEST PRESCHOOL & CHILD CAREFACILITY NUMBER:
393619989
ADMINISTRATOR:JAMIE ROWLEYFACILITY TYPE:
850
ADDRESS:10088 NORTH HIGHWAY 99TELEPHONE:
(209) 751-4451
CITY:STOCKTONSTATE: CAZIP CODE:
95212
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 17DATE:
01/02/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Facility Representative Anjelica TrujilloTIME COMPLETED:
11:30 AM
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Licensing Program Analysts (LPA) Elizabeth Santiago and Lauren Scott met with facility representative, Angelica Trujillo on 01/02/2024 for the purpose of an unannounced plan of correction inspection to clear a Type A and Type B deficiencies that were issued on 11/27/2023 regarding background clearance and fire drills.

All individuals subject to criminal background review have obtained a criminal record clearance. Facility representative was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.



During today's inspection LPAs observed a proper background clearance for all staff and documentation of fire drills are being conducted at least once every 6 months.

Deficiencies cited on 11/27/2023 are cleared effective today. Proof of correction letter was provided. A notice of site visit was provided and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Elizabeth Santiago
LICENSING EVALUATOR SIGNATURE: DATE: 01/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/02/2024
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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