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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500417
Report Date: 06/28/2023
Date Signed: 06/28/2023 03:04:39 PM

Document Has Been Signed on 06/28/2023 03:04 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:ACHIEVERSFACILITY NUMBER:
394500417
ADMINISTRATOR:STINSON, IVYFACILITY TYPE:
840
ADDRESS:4453 PRECISSI LANETELEPHONE:
(209) 956-5437
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 4DATE:
06/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Ivy StinsonTIME COMPLETED:
03:20 PM
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On 06/28/23, Licensing Program Analyst (LPA), Elvira Sierra met with Director, Ivy Stinson for unannounced Annual/Required Inspection. Present during the visit were two two staff caring for four children. Facility meets teacher/child ratio today. Facility operates one classroom from M-F summer hours are 07:00am to 06:00pm and during school hours are M-F from 12:30pm to 06:00pm.
Facility was inspected in all areas accessible to children for Health and Safety hazards. Classroom has age-appropriate toys and equipment that are in good repair. Cubbies are located inside the classroom. The facility has age-appropriate furniture and equipment. Classroom has one toilet, and one sinks available for children. Bathroom has a door to allow individual privacy. Restrooms are maintained clean, in good repair and with adequate supplies. Staff use a separate restroom. Per Director there are no Firearms/ weapons in the facility or bodies of water. Disinfectants, cleaning solutions, poisons are stored inaccessible to children. Director was advised that storage areas for poisons shall be locked. Facility does not have any children that required medication at this time. The isolation area for an ill child is in the front desk area. Facility has more than one functioning carbon monoxide and smoke detectors. . Outdoor activity space surface is maintained in good condition and is free of hazards. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. Playground equipment is in good repair and age appropriate. Drinking water is readily available both indoors by pitcher and cups and outdoor by water fountains. The center provides breakfast, lunch and snack to children and are prepared at the facility kitchen. Menus are posted, updated and available for public view. Last Emergency Drill was conducted on 05/30/23 and is properly logged.
Facility meets all Posting requirements; (License, parents rights, personal rights, menu, Emergency Disaster & Earthquake Preparedness Plan, Child Car Seat Law) were reviewed today. Two Staff and four children files were review and Staff files records contain a health screening report and children files are complete including Emergency contact information and medical assessment. Sign in/out sheets were reviewed. Facility representative was advised that the person who signs the child in/out shall use their full legal signature and shall record the time of day.
Report continues on subsequent page 809C--
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2023
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: ACHIEVERS
FACILITY NUMBER: 394500417
VISIT DATE: 06/28/2023
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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/

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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.

Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the facility representative, Ivy Stinson.
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023
LIC809 (FAS) - (06/04)
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