100407094-3-13-2020-04-CC-ASLR-BMNRDL-20200313125608

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100407094
Report Date: 03/13/2020
Date Signed: 03/13/2020 12:56:14 PM

COMPREHENSIVE INSPECTION

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:	FRESNO EOC SAN JOAQUIN HEAD START		FACILITY NUMBER:	100407094
ADMINISTRATOR:	HERNANDEZ, SELENA		FACILITY TYPE:	850
ADDRESS:	8535 SOUTH NINTH		TELEPHONE:	(559) 693-4571
CITY:	SAN JOAQUIN	STATE: CA	ZIP CODE:	93660
CAPACITY:	20	CENSUS: 0	DATE:	03/13/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Juanita Garcia		TIME COMPLETED:	01:00 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 03/13/2020, an unannounced One Year Required Annual inspection was conducted by Licensing Program Analyst (LPA) Angelica Slaughter. LPA was met by Teacher Juanita Garcia and toured the facility, both indoors and outdoors. No children were present during today's inspection. There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. When present, all children are under supervision, including visual supervision, of a teacher at all times. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed. All materials and surfaces accessible to children were toxic free. All toilets and hand washing facilities were in safe and sanitary operating conditions. All floors were clean and safe. Furniture and equipment were in good condition, free of sharp, loose, or pointed parts. All storage areas were clean, free of litter, rubbish, and rodents/vermin. Solid waste storage vessels, including moveable bins, had tight-fitting covers on and were in good repair. Uncontaminated drinking water was available both indoors and outdoors. Menus are posted at least one week in advance, where an authorized representative can view them. Facility had one functioning carbon monoxide detector that met statutory requirements. Playground equipment was in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface was maintained in a safe condition and was free of hazards. Areas around high climbing equipment, swings, and slides had wood chip cushioning material to absorb falls. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review had a clearance or exemption and had been associated to the facility. Staff records contained appropriate, documentation of educational 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 was available for review. (Continued on 809-D)

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica Slaughter	TELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020

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: FRESNO EOC SAN JOAQUIN HEAD START	FACILITY NUMBER: 100407094
	VISIT DATE: 03/13/2020

NARRATIVE

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This is a six-hour day program which operates on a 11 month schedule. Monday through Thursday and every other Friday from 8:00am - 2:00pm. Meals are provided to the children by San Joaquin Elementary School.

Required CCL forms are posted on parent's board.

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.

Per Title 22 of the California Code of Regulations no deficiencies are observed today. Exit interview was conducted with Juanita Garcia.

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: 03/13/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020

LIC809 (FAS) - (06/04)

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