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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406332
Report Date: 10/01/2019
Date Signed: 10/01/2019 11:17:37 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FUSD-CALWAFACILITY NUMBER:
100406332
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:4303 E. JENSENTELEPHONE:
(559) 457-3683
CITY:FRESNOSTATE: CAZIP CODE:
93725
CAPACITY:40CENSUS: 31DATE:
10/01/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Isabella Tinoto (Room 1) and Alda Perez (Room 2)TIME COMPLETED:
11:30 AM
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An annual inspection was conducted by Licensing Program Analysts (LPAs) Ginny Badhesha and Robert Gutierrez. LPAs met with lead teachers Elda Perez and Isabella Tinoco and toured the facility. Preschool classroom 1 and classroom 2 are used for child care and is located in portables on the Calwa Elementary School grounds. This facility operates on a morning and afternoon class during the traditional school year schedule. Days and hours are Monday through Friday from 8:00 AM to 11:00 AM and 12:00 PM to 3:00 PM. No bodies of water present. Firearms/weapons are not allowed or stored on premises. All children present receive direct visual supervision at all times. Facility is operating within the approved licensed capacity at this inspection. LPAs observed some accessible disinfectants, cleaning solutions, and toxic items under the sink in classroom 1 and in accessible drawer in classroom 2. All toilets, hand washing, and bathing facilities are in safe and sanitary condition. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Preschool provides snacks only. All food is protected from contamination, and contaminated food is discarded immediately. Solid waste storage vessels, including moveable bins, have tight fitting covers on, and are in good repair. Menus are posted at least one week in advance where an authorized representative can view them. Menus shall be dated and kept on file for 30 days and be available for review upon request. Facility has at least one functioning carbon monoxide detector that meets statutory requirements. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in safe condition and free of hazards. Areas under/around high climbing equipment and slides have sufficient wood chips cushioning material to absorb falls. The licensee is Fresno Unified School District. Staff are required to have a health screening and fingerprint clearance as a condition of employment. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the center. Staff records contain appropriate documentation of education credits.

(Continued on 809-C)
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Gagandip BadheshaTELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-CALWA
FACILITY NUMBER: 100406332
VISIT DATE: 10/01/2019
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At least one person trained in Pediatric CPR/First Aid with the expiration date of 4/2021, is present when children are at the facility or at off site activities. The responsible person who signs the child in/out uses their full legal signature and records the time of day. Child's admission agreement is available for review.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services.

Lead teacher Isabella Tinoco provided updated copies of LIC 500 (Personnel Report), LIC 610 (Emergency Disaster Plan) and LIC 308 (Designation of Facility Responsibility) during inspection.



Licensee was provided with Lead Poisoning Facts brochure.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, in the areas evaluated no deficiency was cited during today's visit. A technical violation was issued during today's visit.

Exit interview conducted with Lead teacher Isabella Tinoco and Elda Perez and a copy of this report was provided and discussed.

A Notice of Site Visit Form (LIC 9213) was posted on parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Gagandip BadheshaTELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2019
LIC809 (FAS) - (06/04)
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