103801881-9-16-2019-04-CC-CHAS-BG3NUL-20190916104632

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103801881
Report Date: 09/16/2019
Date Signed: 09/16/2019 10:46:39 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:	CHILD DEVELOPMENT-STATE PRESCHOOL-RED BANK		FACILITY NUMBER:	103801881
ADMINISTRATOR:	KIYUNA, CHARLENE		FACILITY TYPE:	850
ADDRESS:	1454 LOCAN		TELEPHONE:	(559) 327-7885
CITY:	CLOVIS	STATE: CA	ZIP CODE:	93619
CAPACITY:	22	CENSUS: 16	DATE:	09/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:00 AM
MET WITH:	Teacher Director, Alisha Clark		TIME COMPLETED:	11:00 AM

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	An unannounced Annual/Random inspection was conducted today by Licensing Program Analyst (LPA) Caroline Harris. LPA met with Teacher Director, Alisha Clark and toured the facility, both indoors and outdoors. This facility runs Monday- Fri 7:50 AM to 10:50 AM and follows the Clovis Unified schedule. Breakfast is provided and eaten in the classroom. Some children bring there own meals. Menus are posted at least one week in advance, where an authorized representative can view them. 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, of a teacher 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, hand washing, and bathing facilities are in safe and sanitary operating conditions. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. Uncontaminated drinking water is available both indoors and outdoors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings, and slides have cushioning material to absorb falls. There are no excluded individuals present at this facility. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the facility and prevented from returning to the center or having contact with children in care. The licensee shall comply with the notice. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. Staff records contain appropriate, documentation of education credits.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

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: CHILD DEVELOPMENT-STATE PRESCHOOL-RED BANK	FACILITY NUMBER: 103801881
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/16/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/16/2019 Section Cited	1 2 3 4 5 6 7	Sign In and Sign Out. The licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: The person who signs the child in/out shall use his/her full legal signature and shall record the time of day.
	8 9 10 11 12 13 14	The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement was not met as evidenced by 14 out of 16 children were singed in and 1 child did not have the time logged in. This is a possible risk to the health, safety or personal rights of children in care.	8 9 10 11 12 13 14	A copy of the regulations also will be provided to the authorized representative's.
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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: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

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: CHILD DEVELOPMENT-STATE PRESCHOOL-RED BANK	FACILITY NUMBER: 103801881
	VISIT DATE: 09/16/2019

NARRATIVE

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At least one person is to be trained in CPR and Pediatric first-aid and shall be present when children are at the facility or at off-site activities. This facility does have one person trained in CPR and first aid. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. Upon review of the sign in/out sheets, the LPA observed 14 out of 16 children signed in and one child did not have the time logged. Child's admission agreement is available for review.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Medications are stored in a safe place inaccessible to children. 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. LPA reviewed with licensee the Mandated Child Abuse Reporter Training, which was due by 3/31/2018. Information was left today which discusses AB 1207 and the website to use. Most of the staff have completed the AB1207 training, since the review of the Clovis Unified Mandated Reporter training that they previously completed but that did not meet the AB1207 requirements.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see LIC809-D) Licensee was provided a LIC 9213 Notice of Site Visit form that is required to be posted for 30 days. A copy of this report was also provided to the licensee along with appeal rights, and shall be made available to the public upon request. Exit interview was conducted with Alisha Clark.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline Harris	TELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2019

LIC809 (FAS) - (06/04)

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