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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393620822
Report Date: 01/11/2024
Date Signed: 01/11/2024 11:25:40 AM

Document Has Been Signed on 01/11/2024 11:25 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, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CAPC - MANTECA DAYFACILITY NUMBER:
393620822
ADMINISTRATOR:JADE MEIHLFACILITY TYPE:
850
ADDRESS:737 WEST YOSEMITE AVENUETELEPHONE:
(209) 644-5311
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 14DATE:
01/11/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Victoria BrownTIME COMPLETED:
11:30 AM
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On 01/11/2024 at 9:15 AM, Licensing Program Analyst (LPA) Tiffanie Diep met with Site Supervisor Victoria Brown for the purpose of an unannounced annual inspection. Entrance Checklist (LIC 125) was provided to Site Supervisor, and Site Supervisor guided LPA on a tour of the facility. LPA observed two staff supervising 14 children. Facility days and hours of operation are Monday through Friday from 8:00 AM to 11:00 AM and from 12:15 PM to 3:15 PM. LPA verified that annual fees are current.

All individuals subject to a criminal record review have obtained a criminal record clearance. Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of five days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

A health and safety inspection of the facility’s interior and exterior was conducted. LPA reviewed the sign-in/out sheets and observed that children were properly signed in/out. LPA observed the required postings. LPA reviewed staffing ratios, first aid supplies, furniture, equipment, fire drills, and access to drinking water. LPA verified that hazardous items (disinfectants, cleaning solutions, etc.) were inaccessible to children in care. LPA observed dual smoke and carbon monoxide detectors were functional. LPA observed adequate age-appropriate toys and equipment available for children. Facility provides snack. The outdoor play area was inspected. LPA observed the play structure was in good repair and was sufficiently cushioned by woodchips.

Continues on 809-C
SUPERVISORS NAME: Chayntel Hunter
LICENSING EVALUATOR NAME: Tiffanie Diep
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2024
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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