103810016-5-29-2019-04-CC-DDMZ-BCMP2T-20190529105627

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103810016
Report Date: 05/28/2019
Date Signed: 05/29/2019 10:56:38 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:	F.E.O.C. CESAR CHAVEZ CDC		FACILITY NUMBER:	103810016
ADMINISTRATOR:	VELEZ, BERTHA		FACILITY TYPE:	840
ADDRESS:	500 TUOLUMNE		TELEPHONE:	(559) 646-9012
CITY:	PARLIER	STATE: CA	ZIP CODE:	93648
CAPACITY:	24	CENSUS: 15	DATE:	05/28/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Bertha Velez		TIME COMPLETED:	04:20 PM

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	Licensing Program Analyst (LPA) Diana Martinez made an unannounced annual/random visit. Met with Site Supervisor Bertha Velez. Classroom 34 is used for the after school age program and is located in a portable on the west side of the Cesar Chavez Elementary School grounds. This facility operates year round, Monday through Friday from 2:00 PM to 5:30 PM. There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a child care center. The child care center is clean, safe, and sanitary and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children, are inaccessible to children. Storage areas for poisons are locked. Furniture and equipment is in good condition, free of sharp, loose or pointed parts. All toilets, hand washing, and bathing facilities are in safe and sanitary operating condition. All floors are clean and safe. All counter, food preparations and storage areas are kept clean, free of litter, rubbish, and free of rodents and other vermin. All storage containers for solid waste, including moveable bins, have tight-fitting covers that are kept on, and in good repair. Uncontaminated drinking water is readily available both indoors and out. Outdoor activity space surfaces are free of hazards. The areas around or under high climbing equipment, swings, slides and similar equipment are cushioned with material that absorbs a fall. The facility maintains compliance with staff-child ratios. Menus are posted. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. There is a separate, complete, and current record maintained for each child enrolled in the child care center. Each child's record contains a medical assessment. A licensee's failure to comply with the department’s exclusion order after being notified of the order shall be grounds for disciplining the licensee. The department has inspection authority as specified in Health & Safety Codes. The department shall notify a licensee to remove/bar any person with specified convictions or for other reasons. The licensee shall comply with the notice. The licensee shall not exceed the approved capacity of the fire clearance for the facility. No child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption through Fresno County Office of Education. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The person who signs the child in/out uses their full legal signature and records the time of day. Personnel records are maintained on the licensee, administrator, and each employee which includes (See next page)

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D Martinez	TELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2019

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: F.E.O.C. CESAR CHAVEZ CDC	FACILITY NUMBER: 103810016
	VISIT DATE: 05/28/2019

NARRATIVE

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documentation of the educational background, training, and/or experience. Each personnel record contains a health screening. LPA discussed SB 792 requirements needed effective September 1, 2016, regarding immunization's required for all employees and volunteer.

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. When any IMS is provided, an updated 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

Site Supervisor Bertha Velez was provided with Lead Poisoning Facts brochure.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today's visit.

An exit interview conducted with site supervisor and a copy of this report was provided and discussed. A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D Martinez	TELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2019

LIC809 (FAS) - (06/04)

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