125406576-1-29-2020-13-CC-KLYH-BLASN2-20200129130050

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 125406576
Report Date: 01/29/2020
Date Signed: 01/29/2020 01:00:57 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME:	GREAT BEGINNINGS PRESCHOOL		FACILITY NUMBER:	125406576
ADMINISTRATOR:	JOHNSON, KAREN		FACILITY TYPE:	850
ADDRESS:	609 SUMMER ST		TELEPHONE:	(707) 725-9136
CITY:	FORTUNA	STATE: CA	ZIP CODE:	95540
CAPACITY:	30	CENSUS: 29	DATE:	01/29/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Karen Johnson		TIME COMPLETED:	01:30 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	An inspection was made to the facility by Licensing Program Analyst (LPA) Kiriko Lynch. A review of the file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record clearances and/or exemptions through CDSS. The facility operates year round Monday - Friday, 8:30 AM to 12 noon, and an smaller additional program from 1:00 PM to 4:30 PM. The facility was toured inside and outside. The items which could pose a hazard to children such as detergents, cleaning compounds and medications were observed to be inaccessible to children. The toys, floors, desks and other equipment and surfaces are clean, and appeared safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors via water bottles. The children's restrooms are in safe and sanitary condition. Children bring snack and lunches from home. Food was properly stored. Garbage can had a tight fitting lid. The playground was free of hazards and play equipment and surface areas are in safe condition. Climbing structures and/or play equipment are located on grass to absorb falls. There were no bodies of water observed. During today's inspection, staffing ratios and capacity were being met. Four staff were supervising 29 children. One staff present has current pediatric CPR/First Aid certification that was observed at 12:30 p.m., and it expires on 07/01/21. Staff mandated reporter training certifications were also observed at 12:30 p.m. See next page for continuation report

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko Lynch	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020

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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926

FACILITY NAME: GREAT BEGINNINGS PRESCHOOL	FACILITY NUMBER: 125406576
	VISIT DATE: 01/29/2020

NARRATIVE

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Five children's files were reviewed at 12:45 p.m. Consent for medical treatment and Emergency information forms were on file. Three staff records were reviewed at 12:30 p.m., documentation of education and/or experience was present. This facility is currently not providing Incidental Medical Services – IMS. 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. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free American Disabilities Act 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: www.ada.gov/childqanda.htm. This report was reviewed and discussed with Director. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

The facility is in substantial compliance during today’s inspection. There were no Title 22 deficiencies cited during today's visit.

SUPERVISOR'S NAME: Erin Virrueta	TELEPHONE: (530) 895-4325
LICENSING EVALUATOR NAME: Kiriko Lynch	TELEPHONE: (530) 895-5033
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020

LIC809 (FAS) - (06/04)

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