<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500375
Report Date: 08/12/2022
Date Signed: 08/12/2022 12:23:26 PM

Document Has Been Signed on 08/12/2022 12:23 PM - 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 - MAINFACILITY NUMBER:
394500375
ADMINISTRATOR:NORIEGA, BLANCAFACILITY TYPE:
850
ADDRESS:800 E MAIN STTELEPHONE:
(209) 851-3479
CITY:STOCKTONSTATE: CAZIP CODE:
95202
CAPACITY: 34TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
08/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Elizabeth MedinaTIME COMPLETED:
12:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On Friday, August 12, 2022, at 09:25am, Licensing Program Analyst (LPA) Elvira Sierra met with Center Manager, Elizabeth Medina for the purpose of an unannounced annual inspection. Facility operates in classroom Main A and Main B Monday through Friday from 7:00 AM to 5:30 PM year round. Upon arrival present in the facility were 11 preschool children supervised by four staff members who all have obtained a criminal record clearance through Community Care Licensing. Facility Director, Blanca Noriega and one more preschool child arrived later during the inspection. Facility is operating within the capacity and in compliance with staff child ratio on this day.

LPA inspected all activity and classroom spaces, restrooms, food service, and outdoor play areas for Health and Safety hazards. All mandatory postings are posted by the parents entrance. Center Manager stated only Main classroom A is open at the moment due to short staffing. Classrooms are adequately ventilated. The floors appeared clean throughout the facility. Classrooms have age appropriate toys and equipment that are in good repair. Restrooms were observed clean, in good repair and with adequate supplies. Cleaning products and Toxins are maintained inaccessible to children. First Aid Kit is maintained and properly stocked. Center Manager stated currently there is one child on medication. Medication is kept in a backpack in the classrooms inaccessible to the children. LPA observed at least one functional smoke/carbon monoxide detector and a fully charged 2A:10BC fire extinguisher. Facility has a working telephone at the site. Center Manager stated there are no poisons, or firearms on the premises. No bodies of water were observed. Outdoor activity space surface is free of any hazard and areas around high climbing equipment have cushioning material to absorb falls. Facility offer drinking water by using water dispenser and disposable cups. Facility provides breakfast, lunch and snack to children in care. Food is prepared by GP food and deliver to SBS (Sandra Buttlet Site on 540 North California St, Stockton CA). SBS delivered the meals to the center every two weeks. Menus are posted, updated and available for public view.

At am 11:00 am, 10 children and four staff files were reviewed. Children and staff files were completed and contained the required documentation by regulation. At least one staff member present today has current Pediatric CPR and First Aid certification. Facility uses an electronic application for parents to sign/in-sign/out. Emergency Drill are conducted monthly and is properly logged.

----Report continues on subsequent page 809C

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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 - MAIN
FACILITY NUMBER: 394500375
VISIT DATE: 08/12/2022
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Center Manager and Director were 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.

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 given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Notice of Site Visit was posted. Exit interview conducted and report was reviewed with Center Manager, Elizabeth Medina and Director, Blanca Noriega.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2