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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801973
Report Date: 03/13/2020
Date Signed: 03/13/2020 03:07:37 PM

COMPREHENSIVE INSPECTION
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:SAN JOAQUIN PRESCHOOL CENTERFACILITY NUMBER:
103801973
ADMINISTRATOR:ROSSETTI, CELINAFACILITY TYPE:
850
ADDRESS:21990 NEVADA ST.TELEPHONE:
(559) 693-4004
CITY:SAN JOAQUINSTATE: CAZIP CODE:
93660
CAPACITY:24CENSUS: 12DATE:
03/13/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Jamie MartinezTIME COMPLETED:
03:20 PM
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On 03/13/2020, an unannounced One Year Required inspection was conducted by Licensing Program Analyst (LPA) Angelica Slaughter. LPA was met by Head Teacher Jamie Martinez and toured the facility, both indoors and outdoors. Also present during this inspection, were two assistants and 12 children. 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. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed. All materials and surfaces accessible to children were toxic free. Hand washing facilities were in safe and sanitary operating conditions. One toilet had a loose flushing handle. All floors were clean and safe. Furniture and equipment were in good condition, free of sharp, loose, or pointed parts. All food prep and storage areas were clean, free of litter, rubbish, and rodents/vermin. Solid waste storage vessels, including moveable bins, had tight-fitting covers on and were in good repair. Uncontaminated drinking water was available both indoors and outdoors. Menus were not posted. Facility had one functioning carbon monoxide detector that met statutory requirements. Playground equipment was in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface was maintained in a safe condition and was free of hazards. Areas around high climbing equipment and slides had wood chip cushioning material to absorb falls. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review had a clearance or exemption and had been associated to the facility. Staff records contained appropriate documentation of educational credits. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. Children's admission agreements were available for review.

(Continued on 809-D)
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: SAN JOAQUIN PRESCHOOL CENTER
FACILITY NUMBER: 103801973
VISIT DATE: 03/13/2020
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This is an AM/PM half day program which operates year round. The morning session is 7:45 am to 11:15 am and the afternoon session is 12:00 pm to 03:00 pm, Monday through Friday. Meals are provided to the AM and PM children through San Joaquin Elementary School's cafeteria.

Required CCL forms are posted on parent's board.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.

Per Title 22 of the California Code of Regulations no deficiencies were cited today. Exit interview was conducted with Jamie Martinez.

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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2