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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500581
Report Date: 02/27/2025
Date Signed: 02/27/2025 11:27:21 AM

Document Has Been Signed on 02/27/2025 11:27 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:LIBERTY SQUARE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
394500581
ADMINISTRATOR/
DIRECTOR:		VERACRUZ, SUSANAFACILITY TYPE:
850
ADDRESS:807 N. SAN JOAQUIN ST. SUITE BTELEPHONE:
(209) 623-7962
CITY:STOCKTONSTATE: CAZIP CODE:
95202
CAPACITY: 20TOTAL ENROLLED CHILDREN: 18CENSUS: 15DATE:
02/27/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Susana VeracruzTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 02/27/25, Licensing Program Analyst (LPA) Elvira Sierra met with Site Supervisor, Susana Veracruz for the purpose of an unannounced annual inspection. LIC 125(Entrance Checklist for Child Care Centers) was provided to facility representative. Facility operates inside the Liberty Sqare Apartment Building in one classroom M-F 07:00 am to 05:00p.m. Facility is open all year round except holidays.Present in the facility were 15 children and 3 staff members. Facility is in compliance with staff/children ratio on today's inspection.

LPA conducted a health and safety inspection in all areas accessible to children and the following was observed; Appropriate care, and supervision was observed. Facility was clean and all toilets, and hand washing areas are in safe and sanitary operating condition. Furniture and equipment are in good repair. Staff stated that there are no children at this time that required medication. First Aid Kit and Emergency supplies are available and stored inaccessible to children. No bodies of water were observed in the premises and per representative there are no weapons in the facility. Disinfectant and cleaning supplies are inaccessible to children and stored in a cabinet under the sink using a double door slide lock. Functioning telephone, carbon/smoke detectors were observed in the classroom. Several 2A10BC fire extinguisher were observed in the classroom. All posting requirements were observed including meal menus for the children. Outdoor play area is maintained in a safe condition and was observed free of any hazards. Playground equipment is in good condition and cushioning material was observed to absorb falls. Facility provides meals and snacks.. Meals are prepared at the central kitchen at the Sutter center and deliver to the facility everyday. Per facility representative uncontaminated drinking water is readily available both indoor and outdoor via pitcher and disposable cups. Sing in/out sheets were reviewed. Emergency fire drill was conducted last on 01/29/25 and is properly log.


Report continues on subsequent page 809C--
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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: LIBERTY SQUARE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 394500581
VISIT DATE: 02/27/2025
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Five children's and 4 staff's files were reviewed and contain appropriate documentation required by Licensing. At least one staff trained in CPR and Pediatric First Aid was observed to be present.

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.

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/.

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.
For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
Per Program Director, Linda Craig who reached out to Visionary Home Builders facility was built in 2021 and do not required to have their drinking water tested for lead.

Facility representative 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.
Report continues on subsequent page 809C--
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
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: LIBERTY SQUARE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 394500581
VISIT DATE: 02/27/2025
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LPA requested updated copies of facility documents of LIC 500-personal Report, LIC 610-Emergency Disaster Plan.

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.
A notice of site visit was posted and must remain posted for 30 days. Exit interview conducted and report was reviewed and provided to facility representative, Susana Veracruz.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC809 (FAS) - (06/04)
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