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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500387
Report Date: 08/30/2023
Date Signed: 08/30/2023 10:37:19 AM

Document Has Been Signed on 08/30/2023 10:37 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:MCCRAY, TATIANAFACILITY NUMBER:
394500387
ADMINISTRATOR:MCCRAY, TATIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 351-6677
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 2DATE:
08/30/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tatiana MccrayTIME COMPLETED:
10:45 PM
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On 08/30/23, Licensing Program Analyst (LPA) Elvira Sierra met with the licensee, Tatiana Mccray for the purpose of an unannounced annual inspection. All individuals subject to criminal background review have obtained a criminal record clearance verified by LPA accessing Guardian. Licensee owns the home. Home is a one story four bedroom and two bathrooms house. Licensee stated there are no new residents in the home since licensure. Per Licensee hours of operation are M-F from 07:00am to 05:00pm. Present in the facility was Licensee caring for one child. One more daycare child arrived later during the inspection.

A health and safety inspection was conducted in all areas accessible to children. Off-limits areas include All Bedrooms, bathroom # 2 (inside master bedroom), left side portion of the backyard, garage, front yard, and driveway. Licensee is requesting to make living room, kitchen and dining area off limits. Living room will be used for transition to the bathroom only. Licensee stated that she will make sure children may never enter these off-limit areas by supervision and lock doors. Home is suitable for children and appropriately ventilated. Age-appropriate toys and reading material were observed. Hazardous items medication and knives were observed inaccessible to children. Per Licensee there are no weapons in the home and no bodies of water were observed. Facility maintains a working phone, a functioning carbon/monoxide detector and a 2A10BC fire extinguisher that meets Fire Marshall standards. LPA reminded Licensee that any changes to the home or any new construction must be reported to Licensing. Outdoor play area is fence for supervision and free from defects or dangerous conditions. Licensee last emergency drill was conducted on 06/12/23 and was properly logged. First Aid Kit is fully stocked and accessible. Licensee stated she transport children and provide meals.
Two children's file was reviewed. Licensee, and husband EMSA CPR and First Aid certification was verified (exp 08/2025). Facility roster was reviewed and is complete and up to date. Licensee Mandated Reporter Training was verified and expires on 12/24. ------Report continues subsequent page 809C—
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2023
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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: MCCRAY, TATIANA
FACILITY NUMBER: 394500387
VISIT DATE: 08/30/2023
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Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/.

LPA discussed the safe sleep regulations and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee, Tatiana Mccray.

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

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC809 (FAS) - (06/04)
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