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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808836
Report Date: 05/01/2019
Date Signed: 05/01/2019 10:41:02 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:CENTRAL U.D.S. PRESCHOOLFACILITY NUMBER:
103808836
ADMINISTRATOR:ANDRADE-STIFFLER,ELIZABETHFACILITY TYPE:
850
ADDRESS:5652 W. GETTYSBURGTELEPHONE:
(559) 247-4700
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:24CENSUS: 23DATE:
05/01/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Wendy HernandezTIME COMPLETED:
10:55 AM
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An unannounced/random inspection was conducted today by Licensing Program Analyst (LPA), Stephanie Navarro. This facility is housed on the Central Unified District campus in room 10 and consist of one classroom. LPA met with Preschool Supervisor, Wendy Hernandez. Also present were Teacher, Rebecca Wilson, and Teacher Aides, Mai Xiong and Betty Zapata. LPA toured the facility, both indoors and outdoors. There are no firearms present at this school. All children are under supervision, including visual supervision, of a teacher at all times. Teacher/child ratios are maintained and adequate supervision is being provided during this visit. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed during today’s inspection. 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. LPA observed in the classroom solid waste storage vessel, including moveable bin, have tight-fitting cover on, and are in good repair. Drinking water is available both indoors and outdoors. Menus are posted at least one week in advance, where an authorized representative can view them. There is a working fire extinguisher, carbon monoxide, smoke detector, and adequate heating and ventilation for safety and comfort. Fire drills are conducted and documented every six months. Playground equipment is required to be in good condition, free of sharp, loose, or pointed parts. Areas around high climbing equipment and slides have cushioning material to absorb falls. LPA reminded facility staff the importance of draining water from outdoor water table after each use.

Before working in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and is a condition of employment with Central Unified School District. Staff records contain appropriate, documentation of education credits.

Continued 809-C
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie NavarroTELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019
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: CENTRAL U.D.S. PRESCHOOL
FACILITY NUMBER: 103808836
VISIT DATE: 05/01/2019
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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. Child's admission agreement is available for review. Required CCL forms are posted on parent's board.

This is an AM/PM half day program which operates on a traditional school year schedule. The morning session is 8:00am to 11:00am and the afternoon session is 12:00pm to 3:00pm, Monday through Friday.

Incidental Medical Services (IMS) policy was discussed. For IMS informaton see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. Facility is administering IMS and IMS Plan is on file. 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 & Preschool Supervisor discussed the Community Care Licensing website, Lead Safety, and Mandated Reporter Training. LPA and Lead Teacher discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiency cited.

Exit interview was conducted with Preschool Supervisor, Wendy Hernandez.

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: Susie FanningTELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie NavarroTELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2