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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393604403
Report Date: 01/11/2024
Date Signed: 01/11/2024 02:14:46 PM

Document Has Been Signed on 01/11/2024 02:14 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:EDISON PRESCHOOLFACILITY NUMBER:
393604403
ADMINISTRATOR:ESTRADA, VICTORIAFACILITY TYPE:
850
ADDRESS:100 W. DR. MLK JR. BLVDTELEPHONE:
(209) 933-7425
CITY:STOCKTONSTATE: CAZIP CODE:
95206
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 29DATE:
01/11/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:28 PM
MET WITH:Lead PM Teacher Claudia CombsTIME COMPLETED:
02:42 PM
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On 1/11/24, Licensing Program Analyst Carla Polanco Rivera (LPA), met with Lead PM Teacher Claudia Combs in portable classroom #F101, and Substitute Lead Teacher Ana Gapusan in the preschool AM portable classroom #F201. Today's visit is for the purpose of an unannounced Annual inspection. During today's inspection there were 14 children present in room #F101, and 15 children in room #F201 . LPA toured both classrooms inside and out. Facility days and hours of operation are Monday- Friday, 8:00 AM-11:00 AM (AM class) & 12:00 PM-3:00 PM (PM class).

LPA reviewed care and supervision of children, staffing ratios, first aid supplies, furniture, equipment and fire drills. There are adequate toys and equipment available for children. Outdoor play area is shared by the classrooms. Playground was toured and appears to be in good repair, there is sufficient cushioning under the play structures. Toileting facilities were in operating, safe, and sanitary condition. LPA observed all required forms to be posted. Food is provided by the school district. Menus were posted and drinking water was readily available to children. LPA reviewed the sign in/out binders and clipboards in both classrooms and observed that children are properly signed in.

Report continues on LIC809-C.....
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE: DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/11/2024
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: EDISON PRESCHOOL
FACILITY NUMBER: 393604403
VISIT DATE: 01/11/2024
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Staff and children's records were reviewed in both classrooms. Files reviewed contained an emergency card and consent for medical treatment. At least one staff member present in each of the classrooms has current Pediatric CPR and First Aid certification, Teacher Claudia Combs (Exp. 06/2024) & Teacher Karla Sanchez (Exp. 06/2024). All staff are currently employed through the District and have a criminal record clearance, mandated reporter certificates, and documentation of the educational background, training, and/or experience.

LPA observed health screening reports with TB test and required MMR and TDAP vaccines for staff members. Staff are required to renew Mandated Reporter training every 2 years, training is available through the www.mandatedreporterca.com website.



LPA reviewed storage of medication, and child personnel records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers, sections 101173 and 101226. 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)/(800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Exit interview conducted and report was reviewed with Lead Teacher Claudia Combs. A notice of site visit was posted by LPA in both classrooms and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

In the areas that were evaluated, no deficiencies were cited during the inspection.
SUPERVISORS NAME: Karyn Guerra
LICENSING EVALUATOR NAME: Carla Polanco Rivera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024
LIC809 (FAS) - (06/04)
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