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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801139
Report Date: 08/25/2021
Date Signed: 08/25/2021 02:44:33 PM

Document Has Been Signed on 08/25/2021 02:44 PM - It Cannot Be Edited

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:CROSSCITY CHRISTIAN EECFACILITY NUMBER:
103801139
ADMINISTRATOR:CHAPMAN, TAMMIFACILITY TYPE:
850
ADDRESS:2777 E NEES AVETELEPHONE:
(559) 299-8484
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY: 120TOTAL ENROLLED CHILDREN: 0CENSUS: 117DATE:
08/25/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Christina NourianTIME COMPLETED:
03:15 PM
NARRATIVE
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On 8/25/2021 Licensing Program Analyst (LPA) Brannon, conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Assistant Director, Christine Nourian, and toured the facility indoors and outdoors. Days and hours of operation are Monday through Friday. Monday is from 8:45 AM to 12:00 PM, Tuesday through Friday from 8:45 AM to 2:00 PM.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. No poisons were observed during the inspection.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. During today’s inspection, LPA observed in room 305 the brown child size couch cushioning is showing wear and tear. The foam cushioning is not showing at this time. In room 303, the blue vinyl bean bag has worn areas, but the foam cushioning is not exposed. Playground equipment is in safe condition, free of sharp, loose or pointed parts. In the outside play yard, the blue four seated seesaw has exposed metal and will need to be painted. The orange climbing structure has metal that is exposed and needs to be painted. The grip pads have been worn off. Assistant director stated that she sprayed Good Grip on these foot areas yesterday. LPA recommended to keep a log of when this spray was used or replace the grip strips to help ensure children do not slip and become seriously injured. LPA observed that the age appropriate sticker on the climbing structure is missing and needs to be replaced. Licensee has a black and white storage unit in the children’s outside play yard with paint chipping off. The wooden blue water table has patches of paint that has worn off and exposes the wood and the short support legs are wearing out, leaving jagged edges and is rotting away. The wrought iron fencing is showing signs of rust. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Parents provide lunches for their children. If a parent forgets to provide lunch for their child, licensee will provide lunch. Licensee provides AM snack.

CONTINUED ON FOLLOWING PAGE

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2021
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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Document Has Been Signed on 08/25/2021 02:44 PM - It Cannot Be Edited


Created By: Cynthia Brannon On 08/25/2021 at 01:42 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CROSSCITY CHRISTIAN EEC

FACILITY NUMBER: 103801139

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 08/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/08/2021
Section Cited
CCR
101216.1(c)(1)

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Teacher Qualifications and Duties. Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.
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Per assistant director, a copy of staff #8's official transcripts will be sent to the Fresno Community Care office by 9/8/21.
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This requirement was not met as evidenced by the missing official transcripts in staff file. This is a potential risk to children's personal rights, health and safety of children in care.
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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:Michael Duarte
LICENSING EVALUATOR NAME:Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:
DATE: 08/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/25/2021


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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: CROSSCITY CHRISTIAN EEC
FACILITY NUMBER: 103801139
VISIT DATE: 08/25/2021
NARRATIVE
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Drinking water is available both indoors and outdoors. Parents provide children with water bottles that are labeled with the child’s name. The water bottles provide drinking water inside and outside. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. At this facility, parents sign their names on the application, Procare. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them. During today's inspection, LPA reviewed staff files and observed that staff #8 is missing a copy of her official transcripts reflecting qualifications as a preschool teacher. The listing of classes does not meet this requirement. Staff #8 did have a listing of classes but the documentation did not provide name of student or the college staff attended.

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
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: CROSSCITY CHRISTIAN EEC
FACILITY NUMBER: 103801139
VISIT DATE: 08/25/2021
NARRATIVE
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Incidental Medical Services (IMS) are 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. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of their appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC809 (FAS) - (06/04)
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