573615664-8-1-2024-53-CC-ASIS-D7QT4T-20240801142429

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 573615664
Report Date: 08/01/2024
Date Signed: 08/01/2024 02:24:33 PM

Document Has Been Signed on 08/01/2024 02:24 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:	ESPARTO STATE PRESCHOOL		FACILITY NUMBER:	573615664
ADMINISTRATOR:	JOY MCALLISTER		FACILITY TYPE:	850
ADDRESS:	17120 OMEGA STREET		TELEPHONE:	(530) 787-3417
CITY:	ESPARTO	STATE: CA	ZIP CODE:	95627
CAPACITY:	22	CENSUS: 0	DATE:	08/01/2024
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Joy McAllister		TIME COMPLETED:	10:45 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	Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Alecia Sifuentes and Licensing Program Analyst (LPA) Lauren Scott met with Site Supervisor Joy McAllister for the purpose of a case management inspection. Licensee requests a change of capacity for 40 children ages three years to entry into kindergarten. The fire clearance (STD850) was granted and received on 7/22/2024. The program currently operates Monday through Friday from 7:00 a.m. to 5:00 p.m. INDOOR ACTIVITY SPACE: There are two preschool classrooms located in the Preschool Building and Room #3 in the Elementary School Building. LPA observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. LPA used current measurements from the reports dated 11/2/2022 and 1/23/2009, therefore LPA did not take measurements. The two preschool classrooms contain a total of 1,638 square feet, which will accommodate Licensee’s request for 40 preschool children. There are three toilets and four sinks located in the preschool classroom building and Room #3. OUTDOOR ACTIVITY SPACE: There is one preschool outdoor area on the property. Site Supervisor informed LPA that the preschool playground has been extended to include additional black top and a grass area. LPA informed Site Supervisor that the facility currently has a Shared Outdoor Space Waiver on file to also utilize the TK playground. Site Supervisor stated that since the preschool playground has been extended they do not plan to utilize the TK playground. LPA measured the preschool outdoor activity space. The outdoor activity space contains a total of 18,980 square feet, which will accommodate the Licensee’s request for 40 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Report continues LIC809-C.

SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: 916-917-9202
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024

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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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: ESPARTO STATE PRESCHOOL	FACILITY NUMBER: 573615664
	VISIT DATE: 08/01/2024

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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.

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 Site Supervisor Joy McAllister.

Effective today, 8/1/2024, LPA will approve the change of capacity for 40 preschool children ages three years to entry into kindergarten in the Preschool Building and Room #3 of the Elementary School Building.

SUPERVISOR'S NAME: Mai Lor	TELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Alecia Sifuentes	TELEPHONE: 916-917-9202
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2024

LIC809 (FAS) - (06/04)

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