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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406332
Report Date: 04/08/2021
Date Signed: 04/14/2021 02:32:05 PM

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: 0DATE:
04/08/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Kim BeckwithTIME COMPLETED:
09:00 AM
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On 4/8/2021, Licensing Program Analysts (LPAs) Juvenal Moctezuma & Ginny Badhesha conducted a case management inspection and met with Teacher on assignment, Kim Beckwith. LPA was informed by licensee that a temporary five day change in Preschool classroom #1 will be required due a pipe under the sink breaking and leaving the children without water. Also, during the shutdown, a rodent got into the licensed classroom #1. FUSD Environmental Services is working on catching it. Once it is caught the room will be cleaned and sanitized. Custodians were able to move age appropriate equipment over for the children to the classroom that will be used temporarily which is located right behind the licensed preschool classroom.

This is a Title V program. Facility is located at the Calwa Elementary school site.

During todays inspection, room measurements for the temporary classroom CBET was taken and reviewed with Kim. The approximate measurement is 705 square feet, which will meet the capacity requirement for 20 preschool children. Licensee is utilizing an igloo, disposable cup dispenser with disposable cups. While utilizing the temporary classroom CBET, the children will be utilizing the bathrooms located inside the classroom. Each bathroom has one toilet and one sink; totaling to two toilets and two sinks. There has been no change to the outside play area.

The temporary location is for this week only up from 04/05/2021 to 4/12/2021 only.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with Kim Beckwith. A copy of this report need to be placed in facility file for public review. A Notice of Site Visit was posted on parent board.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021
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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