394500414-6-28-2023-53-CC-ESIA-CT8TSK-20230628145917

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 394500414
Report Date: 06/28/2023
Date Signed: 06/28/2023 02:59:23 PM

Document Has Been Signed on 06/28/2023 02:59 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
SACRAMENTO S. CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME:	ACHIEVERS		FACILITY NUMBER:	394500414
ADMINISTRATOR:	STINSON, IVY		FACILITY TYPE:	830
ADDRESS:	4453 PRECISSI LANE		TELEPHONE:	(209) 956-5437
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	8	CENSUS: 4	DATE:	06/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Ivy Stinson		TIME COMPLETED:	11:15 AM

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 06/28/23, Licensing Program Analysts (LPA) Elvira Sierra, met with facility Director, Ivy Stinson for an unannounced Annual/Required visit. Facility is a combination center with preschool and school age program on site. Infant program operates M-F from 07:00 am to 06:00pm and closes on Federal Holidays. Present during the visit was one staff caring for 4 infant children. Facility complies with staff-infant ratios required by regulation. All areas accessible to children were inspected for Health and Safety hazards. Per Director there are no Firearms/ weapons in the facility. Cleaning products and Toxins inaccessible to children. There are no children that required medication at this time. Director stated that if needed medication is stored on an upper cabinet in the kitchen. The facility has age-appropriate furniture and equipment including mats, and changing tables. Cubbies are located inside the classroom for children belonging. Furniture and equipment are in good condition, free of sharp, lose or pointed parts. All storage containers for solid waste have covers on and are in good repair. Restrooms are maintained clean, in good repair and with adequate supplies. Staff use a separate restroom. Drinking water is readily available both indoors by pitcher/cups and outdoors by water fountain and or pitcher/cups if needed. The isolation area for an ill child is by the facility front desk. Facility has more than one functioning carbon monoxide and smoke detectors. Playground equipment is in good condition free of sharp, lose or pointed parts. Outdoor activity space surface is maintained in a safe condition and is free of hazards. Staff and children files records were review and contain all the appropriate documentation by regulation. Menus and activity schedule are posted in every classroom. Director was advised that tat least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. Emergency supplies and First Aid Kit are properly maintained and kept inaccessible to children. Sign in/out sheets were reviewed. Last Emergency Drill was conducted on 5/30/23 and is properly logged. Program provides breakfast, lunch, and pm snack. Meals are prepared at the facility kitchen. Director stated that parents also provide diapers for the children that required diapers. Report continues on subsequent page 809C--

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

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 3

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: ACHIEVERS	FACILITY NUMBER: 394500414
	VISIT DATE: 06/28/2023

NARRATIVE

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Facility representative 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 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 discussed the safe sleep regulations with facility representative 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 facility representative 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Report continues on subsequent page 809C--

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: ACHIEVERS	FACILITY NUMBER: 394500414
	VISIT DATE: 06/28/2023

NARRATIVE

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Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care 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 facility representative, Ivy Stinson.

SUPERVISOR'S NAME: Bettina Engelman	TELEPHONE: (916) 263-5820
LICENSING EVALUATOR NAME: Elvira Sierra	TELEPHONE: (916) 216-8826
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

LIC809 (FAS) - (06/04)

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