100406833-2-24-2020-04-CC-ASLR-BM4PLX-20200224102525

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100406833
Report Date: 02/21/2020
Date Signed: 02/24/2020 10:25:32 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:	KERMAN UNIFIED PRESCHOOL		FACILITY NUMBER:	100406833
ADMINISTRATOR:	HELM, LESLIE		FACILITY TYPE:	850
ADDRESS:	14655 W. "F" STREET		TELEPHONE:	(553) 843-9341
CITY:	KERMAN	STATE: CA	ZIP CODE:	93630
CAPACITY:	108	CENSUS: 81	DATE:	02/21/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Leslie Helm		TIME COMPLETED:	02:40 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	On 02/21/20, an unannounced Annual/Random inspection was conducted by Licensing Program Analyst (LPA) Angelica Slaughter. LPA met with Preschool Director Leslie Helm and toured the facility. Facility is located on the campus of Kerman Floyd Elementary School. Preschool classrooms 30, 32, 33, and 37 offer morning sessions from 8:00 AM to 11:00 AM; and afternoon sessions from 11:45 AM to 2:45 PM. Half-day session classrooms operate during the traditional school calendar. Preschool classroom 38 offers a full day session from 7:00 AM to 5:00 PM and operates on a traditional school year calendar schedule. There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. Storage areas for poisons are locked. No poisons were observed during today’s visit. All materials and surfaces accessible to children are toxic free. Medications are in a safe place inaccessible to children. All toilets and hand washing facilities are in safe and sanitary operating conditions. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. Breakfast and lunch is prepped and served in the school cafeteria and children are escorted by staff to the cafeteria. PM snack is delivered to the full day session classroom. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Menus are posted at least one week in advance, where an authorized representative can view them. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings, and slides have wood chip cushioning material to absorb falls. CCLD shall notify a licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons. The licensee shall comply with the notice. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. The licensee is Kerman Unified School District and staff have a fingerprint clearance as a condition of employment. Staff records contain appropriate, documentation of education credits. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. Child's admission agreement is available for review.

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

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: KERMAN UNIFIED PRESCHOOL	FACILITY NUMBER: 100406833
	VISIT DATE: 02/21/2020

NARRATIVE

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Required CCL forms are posted on parent's board.

This facility provides Incidental Medical Services – IMS.

Preschool Director Leslie Helm will submit updated copies of LIC 308 (Designation of Facility Responsibility, LIC 500 (Personnel Report), and LIC 610 (Emergency Disaster Plan) to CCLD.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, in the areas evaluated a deficiency was cited during today's visit. (See 809-D) A copy of appeal rights was also provided to the Director.

An exit interview conducted with Preschool Director Leslie Helm and a copy of this report was provided and discussed.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

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: KERMAN UNIFIED PRESCHOOL	FACILITY NUMBER: 100406833
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/21/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/06/2020 Section Cited	1 2 3 4 5 6 7	Personnel Records. Personnel records shall be maintained on the licensee, administrator, and each employee, and shall contain specified information. A health screening as specified in Section 101216(g).
	8 9 10 11 12 13 14	This requirement was not met as evidenced by inspection. Director was unable to provide proof of health screening for all staff files reviewed. This poses a potential risk to the health, safety, or personal rights of children in care.	8 9 10 11 12 13 14
	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: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2020

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2020

LIC809 (FAS) - (06/04)

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