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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801862
Report Date: 08/05/2019
Date Signed: 08/05/2019 08:29:37 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-PYLEFACILITY NUMBER:
103801862
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:4140 N. AUGUSTATELEPHONE:
(559) 457-3683
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:24CENSUS: 0DATE:
08/05/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Mary Anne MorenoTIME COMPLETED:
08:45 AM
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A prelicensing inspection visit was conducted on this date by Licensing Program Analyst (LPA) Brannon, who met with Teacher Special Assignment, Mary Anne Moreno. The center is located at Pyle Elementary School. The licensee is requesting the following capacity: 24 Preschool children. This program will operate traditional school-year, daily from 8:00 am to 4:00 pm; with morning and afternoon sessions. Breakfast and lunch are optional and are provided in the cafeteria. Snack will be provided. Ill children and staff will utilize the bathroom located in the school nurse office. Ill children will be isolated in the school nurse room.

Room measurements taken and reviewed with Mary Anne Moreno. There is one classroom that will be used by preschool children. The total preschool square footage is 853 which will accommodate 24 preschool children. Adequate storage space available for children's belongings. There are 2 toilets and 2 sinks/hand washing fixtures in the children's bathrooms which will accommodate the requested capacity of 24 children. There is a drinking fountain in the classroom and will be utilized for indoor drinking water.

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SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2019
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-PYLE
FACILITY NUMBER: 103801862
VISIT DATE: 08/05/2019
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Outdoor storage is available for toys and equipment. Toys and equipment are age appropriate. Outdoor measurements taken on this date total 11240 square feet which will accommodate the requested capacity. Adequate shade is available in the outdoor activity area. The applicant is utilizing mature trees for shade. The applicant is using wood chips for cushioning under the outdoor climbing structure.
There is a drinking water fountain for outdoor drinking water.
There is an outside play waiver, this facility is sharing the outside play yard with TK and Kindergarten until the the TK and Kindergarten play yard is completed.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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 August 9, 2019:


1. Fire Clearance granted for 24 preschool children.
2. The chain link fencing is not installed on the east side of the outside play yard.
3. The chain link fencing on the west side needs to be tightened.
4. The bike path/sidewalk has gouges in the cement side of the climbing area. This needs to be repaired.

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SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2019
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-PYLE
FACILITY NUMBER: 103801862
VISIT DATE: 08/05/2019
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Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 24 preschool children.

The following documents should be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)

To order forms, etc. visit our website at www.ccld.ca.gov.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3