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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 483005929
Report Date: 10/31/2022
Date Signed: 10/31/2022 03:48:19 PM

Document Has Been Signed on 10/31/2022 03:48 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:VUSD - FEDERAL TERRACE CDC - INFANT/TODDLERFACILITY NUMBER:
483005929
ADMINISTRATOR:TRUJILLO, MARISAFACILITY TYPE:
830
ADDRESS:415 DANIELS AVENUETELEPHONE:
(707) 556-8755
CITY:VALLEJOSTATE: CAZIP CODE:
94590
CAPACITY: 17TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/31/2022
TYPE OF VISIT:Required - 1 YearANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Monique Garcia - Center DirectorTIME COMPLETED:
04:00 PM
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A Required-1 Year inspection was made to the facility by Licensing Program Analyst (LPA), Melchisedeck Augustin. The facility file was reviewed prior to this visit. The facility is currently on Inactive Status until 02/22/23 and the facility requested for the license status to be changed to Licensed, and there are currently zero children enrolled into care. The Cenger Director stated that the Vallejo Unified School District ensured that all school district personnel received an approved criminal record clearance prior to working at the center. Center Director was 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. The infant/toddler program is operated on the premise of the Federal Terrace Elementary School campus by the Vallejo Unified School District and at this time, the facility intends to operate the toddler program and then progress into operation of the infant program. This center is operated by a public agency and is a Title 5 funded program.

The facility’s operating hours are 7:00am - 5:30pm, Monday-Friday. The facility was toured inside and outside and the floor and yard plan submitted by the licensee were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. LPA did not observe any poisons. The facility was free of flies, insects and rodents. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. Center Director stated the facility provided bottled drinking water which were poured in cups for the children to drink while they were indoors and outdoors. The children's bathrooms are in safe and sanitary condition. The infant changing tables have at least 3" sides and sanitary vinyl pads that are at least 1" thick. There were three toilets and three sinks for washing hands which appeared to be in safe and sanitary operating condition. The facility did not have any cribs setup, however; Center Director confirmed the facility had additional cribs in storage. There were 16 cots available for children that are unable to climb out of a crib. A current menu and Activity schedule were posted near the front entrance. (Continue to LIC 809-C)
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2022
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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: VUSD - FEDERAL TERRACE CDC - INFANT/TODDLER
FACILITY NUMBER: 483005929
VISIT DATE: 10/31/2022
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The facility license, Parents Rights, and Earthquake Preparedness Checklist were posted on the parent board near the entrance. There is enough cubby storage, and the Sign In/Out procedure are on top of the children’s cubbies, near the front entrance. The First Aid kit was on the kitchen counter and appeared to be complete. There is a functional smoke detector, carbon monoxide detector; and fully charged fire extinguisher rated at least 2A10BC. Food prep areas are clean. The facility provides a Breakfast, Lunch and one snack. There is a refrigerator available in the kitchen to store and refrigerate food items as needed. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas are in safe condition. There is foam cushioning underneath climbing structures and/or play equipment to absorb falls. There were no bodies of water observed. The Director stated no weapons are stored on site and none were observed. During the visit, the Center Director possessed a current EMSA approved pediatric CPR and First Aid certification which expired on 10/2024 and a current AB 1207 Mandated Reporter Training certificate.

This facility is providing Incidental Medical Services (IMS). The Department’s Incidental Medical Services (IMS) policy was discussed with the Director. The Director stated there are currently no IMS medications stored on site. 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: www.ada.gov/childqanda.htm. The facility has a Plan for Providing IMS on file. This report, as well as the AAP Guide to Safe Sleep Practices and The Effects of Lead Exposure brochures, were reviewed and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years. LPA discussed the safe sleep regulations with Center Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Center Director 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. (Continue to LIC 809-C)
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: VUSD - FEDERAL TERRACE CDC - INFANT/TODDLER
FACILITY NUMBER: 483005929
VISIT DATE: 10/31/2022
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A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the Center Director, Monique Garcia. There were no Title 22 deficiencies cited during today's inspection and the facility license is ready to be changed from Inactive Status to License, effective, 11/01/22.

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.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2022
LIC809 (FAS) - (06/04)
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