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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801346
Report Date: 01/24/2020
Date Signed: 01/24/2020 01:18:11 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-POWERS GINSBURGFACILITY NUMBER:
103801346
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:67 E. ASHLANTELEPHONE:
(559) 457-3683
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY:25CENSUS: 16DATE:
01/24/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Teacher, Stephanie Ramos-LopezTIME COMPLETED:
01:30 PM
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An unannounced Annual/Random inspection was conducted today by Licensing Program Analyst (LPA) Angelica Mejia. LPA met with Teacher Stephanie Ramos-Lopez and toured the facility, both indoors and outdoors. 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, 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. No poisons were observed during today’s visit. All materials and surfaces accessible to children are toxic free. 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 and free of sharp, loose, or pointed parts. Breakfast and lunch are offered to children in the school cafeteria before and after class; parents must escort their children to the cafeteria for these meals. Children receive one prepackaged snack that is delivered to the classroom daily by an outside vendor. All food is protected from contamination, and contaminated food is discarded immediately. All food and beverages capable of rapid spoiling are stored in covered containers at 45°(F) or less. Menus are posted at least one week in advance and are visible to authorized representatives. Solid waste storage vessels, including moveable bins, have tight-fitting covers on and are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Fire/Disaster drills are conducted at least once every six months and documented. Playground equipment is in good condition and free of sharp, loose, or pointed parts. LPA observed multiple large sticks that had fallen from trees, an old office chair that was broken, and trash on the ground in the outdoor activity space. The area behind the classroom had a gate that was not locked that children could access by lifting the latch. Areas around high climbing equipment, swings, and slides have wood chips and rubber matting as a cushioning material to absorb falls. CCL 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. Criminal record clearance is completed as a condition of employment and records are maintained by Fresno Unified School District.
(Continued on LIC809-C)
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
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: FUSD-POWERS GINSBURG
FACILITY NUMBER: 103801346
VISIT DATE: 01/24/2020
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LPA reviewed all personnel files and seven children’s records. Files contained the required forms and documentation. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off-site activities. Mandated Reporter Training AB 1207 is current for all staff. 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. Required CCL forms are posted on parent's board.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov, Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Unusual Incident Reporting, Forms and Regulations.

This is an AM/PM half day program which operates on a traditional school year schedule. The morning session is from 8:00am to 11:00am Monday through Friday. The facility does not have an afternoon session this school year.



This facility provides Incidental Medical Services (IMS). Currently there are no children enrolled that require IMS. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today. Site Visit Notice was posted on the parent board. Exit interview was conducted with Teacher Stephanie Ramos-Lopez.

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: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020
LIC809 (FAS) - (06/04)
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