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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 480104414
Report Date: 08/09/2024
Date Signed: 08/09/2024 11:52:27 AM

Document Has Been Signed on 08/09/2024 11:52 AM - 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:VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOLFACILITY NUMBER:
480104414
ADMINISTRATOR/
DIRECTOR:
STEPHANIE YAMATOFACILITY TYPE:
850
ADDRESS:1117 DAVIS STREETTELEPHONE:
(707) 446-1776
CITY:VACAVILLESTATE: CAZIP CODE:
95687
CAPACITY: 170TOTAL ENROLLED CHILDREN: 83CENSUS: 69DATE:
08/09/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Stephanie Yamato - Center DirectorTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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During the course of a complaint investigation visit, Licensing Program Analyst (LPA), Melchisedeck Augustin conducted an unannounced Case Management and met with Center Director (CD), Stephanie Yamato, to discuss/consult on a deficiency that was observed. A review of Department records revealed a staff (S1) had obtained a department approved criminal record clearance, but, S1 was not associated to the facility license. According to CD, S1 was actively employed and had been working at the facility for more than five days, and it was just an oversight. CD requested for the Department to provide her with the opportunity to provide S1 with the transfer document (LIC 9182), and CD provide the completed LIC 9182 and a copy of S1's current and valid government issued identification to the Department; and the Department associated S1's clearance to the license number.

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Exit interview conducted and report was reviewed with Center Director, Stephanie Yamato. There was no violation of the California Code of Regulations, Title 22; Division 12, cited at this time. A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2024
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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