103808639-9-29-2020-04-CC-JMOA-BTWMXM-20200929100009

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808639
Report Date: 09/23/2020
Date Signed: 09/29/2020 10:00:14 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:	CHARLIE KEYAN ARMENIAN COMMUNITY SCHOOL		FACILITY NUMBER:	103808639
ADMINISTRATOR:	HOVAGIMIAN, TALAR		FACILITY TYPE:	850
ADDRESS:	108 N. VILLA		TELEPHONE:	(559) 323-1955
CITY:	CLOVIS	STATE: CA	ZIP CODE:	93612
CAPACITY:	60	CENSUS: 109	DATE:	09/23/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Curtis Shamlin		TIME COMPLETED:	11:30 AM

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On 09/23/2020, Licensing Program Analyst (LPA) Juvenal Moctezuma & Licensing Program Manager, Michael Duarte conducted a Case Management inspection and met with School Principal, Curtis Shamlin. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The licensee is currently licensed for 60 preschool children and is requesting a temporary increase of capacity in conjunction with the unique waiver to care for additional children by adding 6 classrooms. Total capacity being requested is 115.

The center is located on the premises of Charlie Keyan Armenian Community School which is a private school that provides education for children from preschool thru 6th grade. The facility is located at 108 N Villa in Clovis. This program will operate year round Monday thru Friday from 8:15 AM to 3:15 PM. This newly increased of capacity will operate in classrooms labeled 1-4, 7, & 8. Parents have the option to provide lunch or purchase a lunch. Morning and afternoon snacks are provided. Staff have their own bathroom. Ill children will be isolated in each classroom near the teacher's desk and use the staff bathroom. LPA observed that the cleaning products that were underneath a cabinet were not locked or made inaccessible to children in care. LPA reminded Curtis to either place them in a high cabinet or use childcare locks. The classrooms were observed to be clean.

LPA observed that the Furniture and equipment appeared to be safe and in good condition. LPM reminded Curtis to have a working carbon monoxide installed in each classroom. Licensee will keep a maximum of a 14 child cohort ratio in each classroom. Each child has their own individual desk. There are markers outside the classrooms to help maintain social distancing. Licensee stated that they are providing each child with personal protective equipment to use while in care. Curtis stated they parents don't go inside the classroom and only drop off children in the front office to minimize contact. Curtis stated that no visitors are allowed and stated that anyone staying for more than 15 minutes will be required to get their temperature checked.

Report Continued Onto LIC 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2020

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: CHARLIE KEYAN ARMENIAN COMMUNITY SCHOOL	FACILITY NUMBER: 103808639
	VISIT DATE: 09/23/2020

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Room measurements were taken and reviewed with Curtis. The total inside preschool area measured to an approximate 6,584 square feet which will accommodate the requested capacity. There is adequate storage space available for children's belongings. Toys and equipment are age appropriate. There is a total of 2 urinals, 9 toilets, and 9 sinks/hand washing fixtures which will accommodate the requested capacity. Licensee will use water dispensers for indoor drinking water and individual drinking water bottles for outside.

The approximate outside square footage measured today and reviewed with Curtis is 33,243 which will accommodate the requested capacity. LPM reminded Curtis to try and make sure children are still social distancing when playing outside and to make sure its sanitized before a different cohort goes out and uses the playground. The playground provides shade and grass all around. The play structures are age appropriate. There is outside storage for the preschool toys and equipment. The Licensee is using wood chips for cushioning under the outdoor climbing structure. LPM reminded to make sure there's more wood chips to absorbed the fall zone since it appeared that there wasn't enough.

A fire clearance will need to be sent out to the City of Clovis Fire Department to request the newly requested capacity of 115 Children.

This has 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 10/07/2020.

Classrooms

Get window screens for all classrooms missing them.
Make cleaning supplies inaccessible to children in care
Get carbon monoxide
Make purses, cables, Clorox wipes Inaccessible to children
Make sure trash cans have lids if disposing any left over food/snacks.

Report Continued Onto LIC 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2020

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: CHARLIE KEYAN ARMENIAN COMMUNITY SCHOOL	FACILITY NUMBER: 103808639
	VISIT DATE: 09/23/2020

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Play yard

Trim dead trees & large bushes so they don't impede with supervision or can potentially hurt a child
Replace broken window behind classroom 7
Get more wood chips for the playground to cushion fall zones
Make sure fence/gate located next to the playground is locked.

Pending a final file review & completion of above mentioned items, a recommendation will be made to license the above facility for a capacity of 115 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)
* Activity Schedule
* Lead Poisoning brochure

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 Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2020

LIC809 (FAS) - (06/04)

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