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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150408907
Report Date: 10/24/2019
Date Signed: 10/24/2019 02:20:19 PM

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:GREENFIELD COUNTRY PRESCHOOLFACILITY NUMBER:
150408907
ADMINISTRATOR:HASKINS/HALLFACILITY TYPE:
830
ADDRESS:7690 S. UNIONTELEPHONE:
(661) 834-8184
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:24CENSUS: 18DATE:
10/24/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Gwen Haskins, AdministratorTIME COMPLETED:
02:30 PM
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(3) LPA Pete Espinoza made an unannounced Annual/Random inspection. LPA met with Gwen Haskins, Administrator. There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a child care center. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children, shall be inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition, and is free of hazards. All storage containers for solid waste, including moveable bins, have tight fitting covers that are kept on, and are in good repair. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats. The facility has sufficient infant napping equipment. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Bottles, dishes, and containers of food brought by the infant's authorized representative are labeled with the infant's name and the current date. While in use, infant changing tables are placed within arm's reach of a sink. No child(ren) are left without the supervision, including visual supervision, of a teacher at any time. The facility is in compliance with the staff-infant ratios required. Prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review have obtained a clearance or criminal record exemption. The facility ensures that staff being utilized as infant teachers meet the qualification requirements. Menus are posted at least one week in advance. At least one person trained in CPR and Pediatric First Aid is present. The facility has an individual feeding plan for each infant that meets the requirements. The facility ensures that each infant has an Infant Needs and Services Plan.
Director provided proof required immunizations (Pertussis/Measles/Influenza) and/or written declaration declining flu shot AND certificate of completion for required AB 1207 - California Child Care Workers: Mandated Reporter Training for all staff.
Business hours are Mon-Fri 6:30 AM to 6:00 PM and other hours as arranged.
Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. 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
NO DEFICIENCIES OBSERVED IN THE AREAS INSPECTED DURING TODAY’S VISIT.
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: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2019
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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