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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500377
Report Date: 04/15/2021
Date Signed: 04/15/2021 01:17:42 PM

Document Has Been Signed on 04/15/2021 01:17 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:KIDS PLACE 2 EXPLORE AND LEARN LLCFACILITY NUMBER:
394500377
ADMINISTRATOR:MA. CARINA DIAZ DE BARAJASFACILITY TYPE:
850
ADDRESS:9371 N. LOWER SACRAMENTO RD.TELEPHONE:
(209) 221-0469
CITY:STOCKTONSTATE: CAZIP CODE:
95210
CAPACITY: 90TOTAL ENROLLED CHILDREN: 0CENSUS: 26DATE:
04/15/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Carina Diaz De BarajasTIME COMPLETED:
12:00 PM
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Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Aruna Sridharan met with Applicant, Carina Diaz De Barajas via FaceTime due to COVID-19 for the purpose of an announced pre-licensing change of ownership inspection. Applicant requests a preschool license to serve 90 preschool children from age two to entry into first grade. The program will operate Monday through Friday from 7:30 a.m. to 5:30 p.m. The fire clearance was granted and received on 4/13/2021.

Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat poster, menus, and daily schedule. The facility will provide morning and afternoon snacks.

INDOOR ACTIVITY SPACE:
There are four preschool classrooms. AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. There is a first aid kit in each of the classrooms. Medications will be stored in the classrooms in the top cabinets. AS observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. AS observed cups and water fountains in each of the classrooms. AS observed a functional carbon monoxide detector in each classroom. AS observed an electronic sign-in/sign-out system.

Report continues on 809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2021
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: KIDS PLACE 2 EXPLORE AND LEARN LLC
FACILITY NUMBER: 394500377
VISIT DATE: 04/15/2021
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AS discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. AS discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

This facility evaluation report was reviewed and discussed with Applicant. Applicant was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers.

The following items are required before a license will be issued:
1. Final file review from Regional Manager (RM) Sharon Ogbodo.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2021
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: KIDS PLACE 2 EXPLORE AND LEARN LLC
FACILITY NUMBER: 394500377
VISIT DATE: 04/15/2021
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AS measured four classrooms. The total classroom space contains a total of 3,528 square feet, which will accommodate Applicant's request for 90 preschool children. There are 9 toilets and 11 sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There are three outdoor areas on the property. The outdoor play area is fenced with a chain link fence that is at least four feet tall. AS observed a sufficient amount of equipment and toys. The play structure includes a safety label, which designates use for children 2 to 5 years old. There are shaded areas supplied by trees, overhangs, and canopies.

There is a pool on site which is fenced off to prevent access by the preschool children. The pool is surrounded by a chain link fence that is at least five feet tall. The pool does not have a self-latching gate per title 22 regulations. AS will discuss with Regional Manager (RM) regarding pool fencing. Further follow up will need to be conducting with RM and Applicant. Applicant stated the pool will never be used.

AS measured the outdoor activity space. The outdoor play area contains a total of 27,890 square feet, which will accommodate Applicant's request for 90 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

Incidental Medical Services and a Plan of Operation is located in the facility file. 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.

Report continues on 809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2021
LIC809 (FAS) - (06/04)
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