153801420-8-7-2019-12-CC-SSMH-BETTZG-20190807151018

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153801420
Report Date: 08/07/2019
Date Signed: 08/07/2019 03:10:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME:	ARVIN STATE PRESCHOOL		FACILITY NUMBER:	153801420
ADMINISTRATOR:	CANDI HUIZAR		FACILITY TYPE:	850
ADDRESS:	633 WALNUT		TELEPHONE:	(661) 854-6580
CITY:	ARVIN	STATE: CA	ZIP CODE:	93203
CAPACITY:	24	CENSUS: 10	DATE:	08/07/2019
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Angelica Salinas		TIME COMPLETED:	03:25 PM

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Licensing Program Analysts (LPA's ) Smith and Thompson-Miller met with Supervisor of School Instruction, Angelica Salinas, today for the purpose of conducting a Case Management Change of Capacity (increase) inspection for the Preschool program. LPA's toured and inspected areas according to the facility sketch. The center serves ages three to five years. The center currently has 2 classrooms (R3 and R4). Fire clearance granted for a total of 48 children.
Hours of operation are: Monday through Friday, operating two sessions: Morning 7:55am- 10:55am, Afternoon session: 11:30am to 2:30pm.

**Measurements were taken according to the facility sketch.

Room R4 currently licensed for 24 children

Room R3 measured 39.05 x 23.00 = 898.15 / 35 = 25.66

minus incumbent space: 20.48 + 8.2 + 8.2 = 36.88
898.15 minus 36.88 = 861.27 / 35 = 24.60

There are four toilets, two urinals and four sinks = 60 children (changing table in boys bathroom with two urinals, two sinks, one toilet, girls restroom have three toilets and two sinks). There are two outside drinking fountains available outside of the restrooms.
Outside Play Area 160 x 82 = 13120 13120/75 = 175 children

With the above measurements, center can accommodate a total of 48 children, utilizing classrooms R3 and R4. There is a waiver for the playground area.

**LPA observed age appropriate furniture, equipment, toys and materials. Telephone service was verified as well as adequate heating, lighting, and ventilation. Children's belongings will be kept in cubbies along the wall as you enter classrooms. Drinking water is available inside the classroom in the form of a water coolers.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Suzanne Smith	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: ARVIN STATE PRESCHOOL	FACILITY NUMBER: 153801420
	VISIT DATE: 08/07/2019

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The children's bathroom is located outside by the water fountain. The Preschool aged children are escorted to the bathroom by staff. The staff rest-room is located inside the kitchen area and also designated as an isolation bathroom. LPA observed the bathrooms to be clean and sanitary, with soap, toilet paper and automatic hand blower readily available. Toilets and sinks are functioning properly and age appropriate.

The children do not nap at this center. Center carpets are vacuumed daily, shampooed quarterly and as needed. Trash cans/storage containers for solid waste had tight-fitting covers that are kept on, and in good repair. The center provides breakfast, lunch and snack (morning and afternoon)

Outdoor play area is completely fenced in, play toys were inspected for health, safety, good condition and age appropriateness. Center utilizes grass, cement for bicycles and there is sufficient and adequate shade available. The area was observed to be free of debris. Outside Drinking water is available in the form water pitchers, there are no bodies of water on the campus. The Pre-school yard contains a jungle gym that is anchored and shaded.

LPA's observed a fire extinguisher, smoke detector (located above the ceiling panels) and carbon monoxide detector.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Suzanne Smith	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019

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, 1605 EAST PALMDALE BLV, STE A
PALMDALE, CA 93550

FACILITY NAME: ARVIN STATE PRESCHOOL	FACILITY NUMBER: 153801420
	VISIT DATE: 08/07/2019

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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.

SUPERVISOR'S NAME: Carissa Bell	TELEPHONE: (661) 789-6953
LICENSING EVALUATOR NAME: Suzanne Smith	TELEPHONE: (661) 305-3012
LICENSING EVALUATOR SIGNATURE:	DATE: 08/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019

LIC809 (FAS) - (06/04)

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