573615664-6-25-2021-53-CC-CHUR-C4BRDE-20210625125548

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 573615664
Report Date: 06/25/2021
Date Signed: 06/25/2021 12:55:57 PM

Document Has Been Signed on 06/25/2021 12:55 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:	ESPARTO ELEMENTARY SCHOOL		FACILITY NUMBER:	573615664
ADMINISTRATOR:	JOY MCALLISTER		FACILITY TYPE:	850
ADDRESS:	17120 OMEGA STREET		TELEPHONE:	(530) 787-3417
CITY:	ESPARTO	STATE: CA	ZIP CODE:	95627
CAPACITY: 25	TOTAL ENROLLED CHILDREN: 0	CENSUS: 9	DATE:	06/25/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Site Supervisor, Joy McAllister		TIME COMPLETED:	01:10 PM

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Licensing Program Analysts (LPAs) Chayntel Hunter and Christopher Jackson met with Site Supervisor, Joy McAllister for the purpose of an unannounced case management inspection. Licensee requested to increase from a capacity of 25 preschool children to 32 preschool children. Prior to today's inspection, LPA Hunter received the fire clearance for 48 preschool children. District requested a new capacity of 32 children. LPA is awaiting updated fire clearance form. Classroom 1's facility hours are 8 AM to 11:30 AM and 1 to 4:30 PM. Classroom 1 will offer a lunch and PM snack.

A health and safety inspection was conducted in all areas accessible to children. LPAs measured two classrooms (1 & 3). The total indoor capacity square footage is 1697.3225. This will accommodate Licensee's request for 32 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). LPAs observed two restrooms and five sinks. Facility has a waiver on file for shared restroom usage with the elementary school.

The outdoor activity space was measured. The total outdoor capacity square footage is 13459. This will accommodate Licensee's request for 32 preschool children. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

During the inspection LPAs reviewed new COVID19 self-assessment guide and conducted a technical assistance tour of the facility to incorporate Department of Public Health safety protocols for operating during the pandemic. LPAs reviewed posting requirements and facility operations including sanitation and pick up/drop off procedures.

Report continues on 809-C.

SUPERVISORS NAME: Sharon Ogbodo
LICENSING EVALUATOR NAME: Chayntel Hunter
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021

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: ESPARTO ELEMENTARY SCHOOL	FACILITY NUMBER: 573615664
	VISIT DATE: 06/25/2021

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Site Supervisor was encouraged to visit the Department website at WWW.CCLD.CA.GOV for child care updates, current forms, legislation and regulation information. A copy of this report will remain on file for a period of three years for public review upon request. The Site Supervisor's signature on this form acknowledges receipt of this form.

An exit interview was conducted and in the areas that were evaluated, no deficiencies were observed at the time of the inspection. A Notice of Site Visit was provided and should remain posted for 30 days for parental review.

Effective today, 06/25/2021, facility is approved for a provisional license for a capacity of 32 preschool children.

CONDITIONS REQUIRING CORRECTION PRIOR TO GRANTING INCREASE REQUEST:
1. Updated fire clearance with requested capacity of 32
2. installation of windows

Once the above items are received and approved by LPA Hunter, the facility will be approved for capacity of 32 preschool children.

SUPERVISORS NAME: Sharon Ogbodo
LICENSING EVALUATOR NAME: Chayntel Hunter
LICENSING EVALUATOR SIGNATURE:	DATE: 06/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2021

LIC809 (FAS) - (06/04)

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