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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500375
Report Date: 10/25/2024
Date Signed: 10/25/2024 10:25:25 AM

Document Has Been Signed on 10/25/2024 10:25 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 S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:CAPC - MAINFACILITY NUMBER:
394500375
ADMINISTRATOR/
DIRECTOR:		NORIEGA, BLANCAFACILITY TYPE:
850
ADDRESS:800 E MAIN STTELEPHONE:
(209) 851-3479
CITY:STOCKTONSTATE: CAZIP CODE:
95202
CAPACITY: 34TOTAL ENROLLED CHILDREN: 26CENSUS: 15DATE:
10/25/2024
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Keenon Krick, Kim Ballard and Mome SyhachackTIME VISIT/
INSPECTION COMPLETED:
10:35 AM
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On 10/25/24, Licensing Program Managers (LPM) Bettina Engelman and Licensing Program Analyst (LPA) Elvira Sierra met with ECE Director, Kim Ballard, Center Director, Mome Syhachack and Chief Executive Officer, Keenon J Krick for the purpose of an Informal Meeting at the facility. LPA and LPM toured the facility and observed the care and supervision of children. LPM Engelman defined the difference between a Non-Compliance and an Informal Meeting. LPM advised facility representatives the purpose of todays meeting is to help facility gain compliance.

Today's informal meeting was to discuss type A citation issued on 05/22/24 for children's personal right violation and on 08/30/24 for absence of supervision.
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Facility representatives stated that they have taken the following steps to maintain compliance:
1. Staff meeting was held regarding supervision and personal rights of the children.
2. Facility will enforce head counts within each classroom.
3. Facility will conduct face to name checks during transition periods.
4. Personal rights and supervision expectations were reviewed during the staff meeting to provide support, and training to staff. Also representatives stated that San Joaquin County Office of Education provide support to facility staff and families.

LPA and LPM reviewed regulations and expectations on visual supervision and personal rights. LPM and LPA provided information regarding training videos on Supervision and Personal Rights and the Technical Support Program (TSP), which is a non-enforcement arm of the Community Care Licensing Division offering on site support to licensees and providers. LPA will follow-up with Center Manager for TSP services. LPA discussed using the Department website (ccld.ca.gov) for childcare updates, legislation, forms and regulation information. LPM suggested viewing information videos at www.ccld.childcarevideos.org.

No deficiencies were cited. This report was reviewed by facility representatives, Kim Ballard, Mome Syhachack and Keenon J Krick.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2024
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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