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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393617658
Report Date: 06/08/2023
Date Signed: 06/08/2023 01:46:36 PM

Document Has Been Signed on 06/08/2023 01:46 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:STOVALL, CARLA E.FACILITY NUMBER:
393617658
ADMINISTRATOR:STOVALL, CARLA E.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 808-6182
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
06/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Carla E StovallTIME COMPLETED:
02:00 PM
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On 06/08/23, Licensing Program Analyst (LPA) Elvira Sierra met with the Licensee, Carla E Stovall for the purpose of an unannounced annual inspection. Facility hours of operation are Monday-Friday from 07:30am to 10:00pm. Licensee stated that no new residents moved into the home since licensure. Capacity specified on the license was met on today’s inspection. Upon arrival there were seven children present being supervised by Licensee and Licensee's assistant. Two more children arrived later during the inspection.

A health and safety inspection was conducted in all areas accessible to children. Off-limit areas include: Kitchen, Master Bedroom, Bedroom #1, and garage. Licensee was reminded that day care children may never enter these off-limit areas. Home is appropriately ventilated and suitable for children. Age-appropriate toys and reading material were observed. There were no hazardous materials or chemicals observed accessible to children. Medications and knives are inaccessible to children. Home has a chimney in the living room which is properly barricaded. Licensee stated there are no weapons in the home and no bodies of water were observed. Facility maintains a working phone, a functioning carbon/monoxide detector and a 2A10BC fire extinguisher that meets Fire Marshall standards. LPA reminded Licensee that any changes to the home or any new construction must be reported to Licensing. Backyard is fenced for supervision.

Five children files were reviewed. Current EMSA CPR and First Aid certification was verified (exp 02/27/23) and proof of Mandated Reporter training certificate was observed (exp 10/18/24). Fire drills are conducted at least once every six months and are documented. Facility provide meals.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.


Report continues on subsequent page 809C--
SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE: DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/08/2023
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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: STOVALL, CARLA E.
FACILITY NUMBER: 393617658
VISIT DATE: 06/08/2023
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing 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.

LPA discussed the safe sleep regulations and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email to [email protected]. 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/process.



LPA provided the Child Care Advocates Program email address: [email protected], so the licensee can request to be added to the distribution list to receive Quarterly Updates. Licensee was encouraged to visit the Department website at WWW.CDSS.CA.GOV for child care updates, current forms, legislation and regulation information.

Exit interview conducted. This facility evaluation report was reviewed and discussed with the licensee, Carla E Stovall. A Notice of Site Visit was posted and should remain posted for 30 days for parental review.

SUPERVISORS NAME: Bettina Engelman
LICENSING EVALUATOR NAME: Elvira Sierra
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2023
LIC809 (FAS) - (06/04)
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