480104414-10-30-2024-01-CC-MAUN-DAJTWN-20241030150550

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 480104414
Report Date: 10/30/2024
Date Signed: 10/30/2024 03:06:00 PM

Document Has Been Signed on 10/30/2024 03:06 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME:	VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOL		FACILITY NUMBER:	480104414
ADMINISTRATOR/ DIRECTOR:	STEPHANIE YAMATO		FACILITY TYPE:	850
ADDRESS:	1117 DAVIS STREET		TELEPHONE:	(707) 446-1776
CITY:	VACAVILLE	STATE: CA	ZIP CODE:	95687
CAPACITY: 170	TOTAL ENROLLED CHILDREN: 138	CENSUS: 120	DATE:	10/30/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:50 AM
MET WITH:	Stephanie Yamato - Center Director		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

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	An Annual/Required inspection was conducted by Licensing Program Analyst (LPA), Melchisedeck Augustin. The facility file was reviewed prior to this inspection. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. 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. There was a toddler component attached to the preschool license, however; the facility currently did not have any toddlers enrolled in the toddler program. Care is provided in building #5, classroom 7A, classrooms KR 3A and KR 3B, and PS 4A and PS 4B classrooms. The facility is not registered with the Solano Family and Children’s Services, Food Program. The facility was granted a waiver to allow the preschool and toddler age children to share the same play yard at staggered times. The facility’s operating hours are from 6:30 AM - 6:00 PM Monday-Friday. The facility was toured inside and outside, and the floor and yard plan submitted by the licensee were verified. The sign-in/sign-out procedure was reviewed and appeared to be incomplete. Items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be out of reach, inaccessible to children. Facility Representative confirmed that poison(s) was/were not stored on the premise, and none were observed by LPA. The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. There is drinking water available to children indoors and outdoors. The children's bathrooms were clean, and in safe and sanitary condition. There was/were at least one sink and toilet for every fifteen children. There was adequate lighting in the classroom and bathrooms. There is at least 35 square feet of indoor space and 75 square feet outdoor space, per child. Food prep areas are clean. Food is properly stored and refrigerated as needed. (Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOL	FACILITY NUMBER: 480104414
	VISIT DATE: 10/30/2024

NARRATIVE

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There was no contaminated food observed. Menus and daily schedule were posted either on the wall or on the refrigerator(s) in each class. Garbage cans containing solid waste have tight fitting lids. LPA observed a working carbon monoxide detector, smoke alarm, and fire extinguisher rated at least 2A10BC in the facility. The fire alarm panel box indicated the system was working normally. According to the facility’s disaster drill log, the facility conducted an emergency disaster drill within six months and the last emergency drill was conducted on 10/17/24.

The playground equipment and surface areas are in safe condition. There are wood chips around and underneath high climbing equipment, swings, slides, and other similar equipment. There are no bodies of water observed on the site. Facility Representative confirmed that no weapons are stored on site, and none were observed. During today's inspection, staffing ratios were being met, and 120 children were supervised by 23 teachers and one Aide. The facility was operating within the licensed capacity and ratio requirements. At least one staff member present during the inspection possessed current Emergency Medical Services Authority (EMSA) approved Cardiopulmonary Resuscitation (CPR) and First Aid certifications, which expire in 07/10/2026. Eight staff (S1-S5, S7, CD & AD) were reviewed at 11:20 AM which revealed that the records contained evidence of negative Tuberculosis (TB) clearance and proof required staff immunization records, Health Screening (LIC 503), LIC 9108, Employee Rights (LIC 9052), and LIC Personnel Record (LIC 501), evidence of completion of current AB 1207 Mandated Reporter Training. Five children’s records were reviewed at 12:10 PM which contained all required licensing records (LIC 613A, 627, 700, 701, 702, 995) including Immunization Records and Admission Agreements.

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. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records. (Continue to LIC 809-C)

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOL	FACILITY NUMBER: 480104414
	VISIT DATE: 10/30/2024

NARRATIVE

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For IMS information see PIN 22-02-CCP. 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/. According to department records, the facility submitted a Plan for Providing Incidental Medical Services on 10/23/17.

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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

The following violation of the California Code of Regulations, Title 22; Division 12, was observed: see LIC 809D. 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, Stephanie Yamato. Appeal Rights were provided.

SUPERVISORS NAME: Leslie Lepori
LICENSING EVALUATOR NAME: Melchisedeck Augustin
LICENSING EVALUATOR SIGNATURE:	DATE: 10/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/30/2024 03:06 PM - It Cannot Be Edited

Created By: Melchisedeck Augustin On 10/30/2024 at 01:13 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: VACAVILLE CHRISTIAN EARLY EDUCATION PRESCHOOL	FACILITY NUMBER: 480104414
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/30/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101229.1(a)(1)

Sign In and Sign Out

(a) In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA's review of the sign in/out procedure which revealed that multiple child were not signed out by their authorized representative. The licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/06/2024
	Plan of Correction
1 2 3 4	Director conveyed to classroom staff that they were required to check the sign in/out procedure daily, and Director agreed to produce a plan which includes notifying all parents of the requirements to sign their child in/out by using their full signature, and Director would submit POC by 11/06/24.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Leslie Lepori

LICENSING EVALUATOR NAME:

Melchisedeck Augustin

LICENSING EVALUATOR SIGNATURE:

DATE: 10/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/30/2024

LIC809 (FAS) - (06/04)

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