393621425-4-11-2024-53-CC-ETJA-D48PHE-20240411111950

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 393621425
Report Date: 04/11/2024
Date Signed: 04/11/2024 11:19:55 AM

Document Has Been Signed on 04/11/2024 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:	LINCOLN TECH ACADEMY		FACILITY NUMBER:	393621425
ADMINISTRATOR:	LOPEZ, MARY LISA		FACILITY TYPE:	850
ADDRESS:	542 E PINE STREET		TELEPHONE:	(209) 331-7252
CITY:	LODI	STATE: CA	ZIP CODE:	95240
CAPACITY:	24	CENSUS: 17	DATE:	04/11/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Carrie Griffin		TIME COMPLETED:	11:40 AM

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Licensing Program Analyst (LPA) Erwin Tjhia met with the facility staff, Carrie Griffin for the purpose of an unannounced Annual inspection. Facility days and hours of operation are Monday-Friday from 8:00 AM to 2:00 PM. Facility provides breakfast and lunch which is supplied by the school district. There were 17 children present during today's inspection supervised by two staff.

All staff present during today's inspection have a fingerprint clearance through LODI unified school district. Facility representatives were 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 5 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.

LPA toured the facility inside and out. LPA reviewed staffing ratios, first aid supplies, furniture, equipment, fire drills and drinking water. LPA observed that hazardous items (disinfectants, cleaning solutions etc.) were inaccessible to children in care. LPA observed all required forms to be posted. LPA observed functioning carbon monoxide and smoke alarms. There are adequate toys and equipment available for children. Outdoor play area was toured, the play structure appeared to be in good repair, and there is sufficient cushioning (artificial grass) under the play structure. LPA reviewed the sign in/out book and observed that the children are properly signed in/out.

LPA reviewed children’s and staff files. LPA observed health screening reports with TB test and required MMR and TDAP vaccines. At least one staff member present today has current Pediatric CPR and First Aid (exp. 07/2025). LPA observed AB1207 Mandated Reporter training certificates for all staff. The facility staff was reminded to renew the course every 2 years through www.mandatedreporterca.com website.

Report Continue on 809-C

SUPERVISOR'S NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR NAME: Erwin Tjhia	TELEPHONE: 916-698-8127
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024

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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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: LINCOLN TECH ACADEMY	FACILITY NUMBER: 393621425
	VISIT DATE: 04/11/2024

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This facility doest provides Incidental Medical Services (IMS). For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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/inspection-process.

An Exit interview was conducted, and the report was reviewed with the facility representative. LPA posted a notice of site visit. Facility representative understands the Notice must remain posted for 30 days and that a failure to comply with posting requirements shall result in an immediate civil penalty of $100. Appeal Rights were provided. The facility's signature on this form acknowledges receipt of this form.

In the areas that were evaluated, no deficiencies were cited during the inspection.

SUPERVISOR'S NAME: Karyn Guerra	TELEPHONE: (916) 216-7790
LICENSING EVALUATOR NAME: Erwin Tjhia	TELEPHONE: 916-698-8127
LICENSING EVALUATOR SIGNATURE:	DATE: 04/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2024

LIC809 (FAS) - (06/04)

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