393620822-3-2-2023-53-CC-ESIA-CPJR8T-20230302114828

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393620822
Report Date: 03/02/2023
Date Signed: 03/02/2023 11:48:32 AM

Document Has Been Signed on 03/02/2023 11:48 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME:	CAPC - MANTECA DAY		FACILITY NUMBER:	393620822
ADMINISTRATOR:	JADE MEIHL		FACILITY TYPE:	850
ADDRESS:	737 WEST YOSEMITE AVENUE		TELEPHONE:	(209) 644-5311
CITY:	MANTECA	STATE: CA	ZIP CODE:	95336
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 15	CENSUS: 12	DATE:	03/02/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Victoria Brown		TIME COMPLETED:	11:00 AM

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On 03/02/23 Licensing Program Analyst (LPA) Elvira Sierra met with Site Supervisor, Victoria Brown for the purpose of an unannounced annual inspection. Facility operates inside the Yosemite School campus grounds in classrooms # 6 and # 7. Currently facility is only utilizing classroom #6 due to low enrollment. Hours of operation are M-F from 08:00am to 11:00m, then 12:15pm to 03:15pm. Present in the facility were 12 preschool children being supervised by 2 staff members. Facility representative was reminded never to exceed the conditions, limitations and capacity specified on the license.

LPA conducted a health and safety inspection in all areas accessible to children and the following was observed; Licensing required posting were observed posted in the classroom. There are no poisons on the premises. Toxic and hazardous items are inaccessible to children. Furniture and equipment are age appropriate and in good repair. The floors appeared clean throughout the facility. Per facility representative there are no firearms on the premises and no bodies of water were observed. Facility has at least one functioning smoke and carbon monoxide detector and a fire extinguisher that meets Fire Marshall standards. Toileting facilities are in safe, sanitary, and operating condition. Currently there is one child that requires incidental medical services. Facility keep all medication in a red emergency backpack that is kept out of children reach. Program provides snacks. Menus and daily activity schedule were posted in the classroom. Outdoor play area is free from dangerous conditions and play equipment is safe and free from loose or sharp parts. Areas around and under play equipment are cushioning with wood chips to absorb shock and cushion falls. Water is readily available indoor and outdoor by using water dispenser and disposable cups. Facility uses electronic signing in/out.

5 children files were reviewed. Each child's file contained the required documentation by regulation. Two staff file was reviewed. Staff member present today have current Pediatric CPR and First Aid certification. Fire drill was conducted in 01/13/23 and was properly log.

Report continues on subsequent 809-C.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023

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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833

FACILITY NAME: CAPC - MANTECA DAY	FACILITY NUMBER: 393620822
	VISIT DATE: 03/02/2023

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Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

A notice of site visit was posted and must remain posted for 30 days. Exit interview conducted and the report was provided and reviewed with the facility representative, Victoria Brown.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:	DATE: 03/02/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/02/2023

LIC809 (FAS) - (06/04)

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