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Director
Viscovich, Andreya
Licensee
Empire Union School District
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Based on staff records review, LPA confirmed staff 3 is missing TB Clearance and LIC503 Health Screening Report, staff 4 is missing LIC503 Health and Screening Report and Conseulo Centeno (Education and Disabilities Coordinator) is missing TB Clearance and LIC503 Health Screening Report. The licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Licensee will submit a copy of the TB Clearances and "original" form for LIC503 Health and Screening Reports to Child Care Licensing Office with POC due date 09/29/2023. Original LIC 503 is to be mailed to office.
Standard 101217(a) · Personnel Records
State severity
Type B
Corrected at visit
Not recorded
Correction due
Sep 29, 2023
Technical assistance
Not recorded
Finding source ID
ca:503601351:2023-09-18:101217(a):1
Visit source ID
ca:503601351:2023-09-18:inspection
Child's Medical Assessments
Minor
Based on childrens records review, LPA observed the head start program uses the Stanislaus County Office of Education's Health History form for childrens. The licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Licensee will submit copies of LIC702 Preadmission Health History for all 15 enrolled children via LPA's email. Once submitted to LPA, LPA will verifiy forms. Original LIC702 forms are to be kept in children's files and made readily available to Child Care Licensing upon request.
Standard 101220(a) · Child's Medical Assessments
State severity
Type B
Corrected at visit
Not recorded
Correction due
Sep 29, 2023
Technical assistance
Not recorded
Finding source ID
ca:503601351:2023-09-18:101220(a):1
Visit source ID
ca:503601351:2023-09-18:inspection
May 8, 2023Other visit
1 finding
Standard 101700.3
Minor
This requirement was not met evidence by: Based on record review provided by licensee indicating (ALE) of 5.9 ppb in outlet C and 8.1 ppb in outlet D. These results indicate out of compliance over (ALE) 5.5 ppb, which poses a potential health, safety or personal rights risk to persons in care.
A correction plan is recorded. No state verification date is shown.
Recorded plan of correction
Coordinator agrees to submit evidence of replacement and remediation on outlets C and D for testing at or below Action Level. Coordinator is requesting a waiver for an extention for tesiting due to summer session closure for accurate testing results and will need more time. Waiver to be submitted by POC due date 06/08/23. Director has notified parents and guardians and posted (ALE) results at a reasonable location for Authorized Representatives to review.
Standard 101700.3
State severity
Type B
Corrected at visit
Not recorded
Correction due
Jun 8, 2023
Technical assistance
Not recorded
Finding source ID
ca:503601351:2023-05-08:101700.3:1
Visit source ID
ca:503601351:2023-05-08:other
Oct 5, 2021Inspection
No findings recorded
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