Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 393616652
Report Date: 01/13/2017
Date Signed 01/13/2017 02:28:04 PM

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:MANTECA PARKS & REC., KIDS ZONE - GEORGE MCPARLANDFACILITY NUMBER:
393616652
ADMINISTRATOR:LOMA, VICTORIAFACILITY TYPE:
840
ADDRESS:1601 NORTHGATE DRIVETELEPHONE:
(209) 456-8600
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY:30CENSUS: 19DATE:
01/13/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Victoria LomaTIME 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
Licensing Program Analyst (LPA) Bettina Engelman met with Victoria Loma, Recreation Coordinator, for the purpose of an unannounced annual random visit. Nineteen (19) children and two staff were present upon arrival. The program operates in Portable P12 on the campus of George McParland Elementary School, Mondays- Fridays 6:30-8:45 a.m. and 3:15 (12:15 p.m. on Minimum Days) – 6:00 p.m. following the Manteca Unified School District Calendar.

LPA toured the facility inside and out for a health and safety inspection. PHYSICAL PLANT-The facility appeared orderly and suitable for children. All toxic and hazardous items are stored on a locked cabinet under the classroom sink. Outdoor activity space and equipment was in good repair. Restrooms were sanitary and in operating condition. Food preparation and storage areas were kept clean. Drinking water was readily available inside and outside. FACILITY ADMINISTRATION- All staff present today had criminal background check clearances and/or exemptions. Current CPR and first aid certification was verified. Sign-In sheets are maintained. EVALUATION OF CARE AND SUPERVISION- Visual supervision was observed during the visit. Capacity and ratio requirements were being met. FACILITY RECORDS REVIEW- LPA observed separate, complete and current records for each child enrolled. Staff files contained health screenings.

- Report continues on subsequent pages 809-C and 809-D --

SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Bettina EngelmanTELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2017
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3


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: MANTECA PARKS & REC., KIDS ZONE - GEORGE MCPARLAND
FACILITY NUMBER: 393616652
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2017
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/27/2017
Section Cited
101227(a)(6
1
2
3
4
5
6
7
Food Service. Menus shall be posted at least one week in advance in a place visible by the child’s authorized representative, dated and kept on file for 30 days, and made available upon request.
LPA did not observe a current menu posted.
1
2
3
4
5
6
7
Ms. Loma acknowledged that current menus shall be posted at least one week in advance, and stated that she will talk with staff on ensuring that menus are current and posted . During the visit, the menu was updated and posted. Deficiency cleared at the time of the visit.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Sharon OgbodoTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Bettina EngelmanTELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2017
LIC809 (FAS) - (06/04)
Page: 3 of 3


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: MANTECA PARKS & REC., KIDS ZONE - GEORGE MCPARLAND
FACILITY NUMBER: 393616652
VISIT DATE: 01/13/2017
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
26
27
28
29
30
31
32
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

A Title 22 deficiency is cited on the subsequent page 809-D of this report. Appeal rights were explained and printed. An exit interview was conducted, in which the report was reviewed and discussed with Ms. Loma. A Notice of Site Visit was posted and must remain posted for a period of 30 days for public review. A copy of this report will remain on file for a period of 3 years for public review upon request.

SUPERVISOR'S NAME: Sharon OgbodoTELEPHONE: (916) 263-5744
LICENSING EVALUATOR NAME: Bettina EngelmanTELEPHONE: (916) 208-3734
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2017
LIC809 (FAS) - (06/04)
Page: 2 of 3