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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801670
Report Date: 03/24/2021
Date Signed: 03/25/2021 11:05:19 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:FUSD-COLUMBIAFACILITY NUMBER:
103801670
ADMINISTRATOR:MATHIES, DEANNAFACILITY TYPE:
850
ADDRESS:1025 S. TRINITYTELEPHONE:
(559) 456-3685
CITY:FRESNOSTATE: CAZIP CODE:
93706
CAPACITY:22CENSUS: 0DATE:
03/24/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kim BeckwithTIME COMPLETED:
10:45 AM
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On 03/24/2021, Licensing Program Analyst (LPA) Juvenal Moctezuma conducted an announced Case Management inspection and met with Teacher on assignment, Kim Beckwith. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located on the premises of Columbia Elementary School on 1025 S. Trinity in Fresno, CA. Licensee has changed classrooms from Classroom 18 to Classroom 2 and keeping the same capacity - 22 preschool children. This program will operate on a traditional school year schedule and will have a morning and afternoon session from 8:00 AM to 11:00 AM and 12:00 PM to 3:00 PM.

Kim Stated children usually have breakfast & lunch in the school cafeteria. AM & PM Snacks are also provided by Fresno Unified School District. The food is prepared on site. Staff will utilize the staff bathroom located by the front office. Ill children will be isolated in the nurses office and isolation room which is in room 18 and use the bathroom located in the nurses office. The classroom was observed to be clean and free of toxins. The cleaning items/supplies will be stored underneath the classroom sink which will remain locked during day-care hours. LPA observed that the furniture and equipment appeared to be safe and in good condition. There are plenty of age appropriate items, tables, & chairs to meet the requested capacity.

Room measurements were taken and reviewed with Kim. The total inside preschool area measured to an approximate 786 square feet which will accommodate the requested preschool capacity. There is adequate storage space available for children's belongings. Toys and equipment are age appropriate. There is a total of 5 toilets and 4 sinks/hand washing fixtures available to children. 1 bathroom with one toilet and one sink is inside the classroom. Kim stated that the girls restroom down the hall will be designated for preschool to use as well. A bathroom waiver was submitted and pending approval. Children will be escorted to and from bathroom. There is a water fountain inside the classroom and outdoors but due to Covid they will not be used. Kim stated that the classroom will use a water jug and disposable cups for drinking water both indoor and outdoor during covid.

Report Continued Onto LIC 809-C

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021
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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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-COLUMBIA
FACILITY NUMBER: 103801670
VISIT DATE: 03/24/2021
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The outdoor play are will be shared with Transitional Kindergartners and kindergartens. Kim stated that they have created a schedule so all classrooms do not go out at the same time. A waiver has been submitted and pending approval. The outdoor measurements were taken and reviewed with Kim. The outside preschool playground was measured to an approximate 9,270 square feet which will accommodate the requested preschool capacity of 22 preschool children. There are mature trees for shade. The licensee is using wood chips for cushioning under the outdoor climbing structure. The climbing structure has an age sticker for 5-12 years old. Kim will get a playground inspector to come look at the play structure and determine whether its age appropriate or not. The tables and playground are showing rust which will need to be repainted. LPA reminded licensee to make sure they have visual supervision of children at all times.

A fire clearance for 22 children was received and granted by the Fresno County Fire Department on 03/18/2021.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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

The following items must be completed prior to issuing a license by 04/07/2021.

Corrections:

  • Get outlet covers in classroom
  • Repaint tables & play structure since rust is showing.
  • Wrap pipeline next to drinking fountain outside.
  • Get appropriate age sticker for play structure.


Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 22 preschool children.

No deficiencies cited during today's visit.
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: 03/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2021
LIC809 (FAS) - (06/04)
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