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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808206
Report Date: 12/11/2019
Date Signed: 12/11/2019 01:44:08 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:ST. JOHN'S CHILDREN CENTERFACILITY NUMBER:
153808206
ADMINISTRATOR:MOSLEY, CHERIFACILITY TYPE:
830
ADDRESS:4500 BUENA VISTA ROADTELEPHONE:
(661) 664-9127
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:24CENSUS: 10DATE:
12/11/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Assistant Director, Lynn BumertsTIME COMPLETED:
02:00 PM
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An unannounced Annual/Random visit was conducted today by Licensing Program Analyst (LPA) Caroline Harris. LPA met with Assistant Director, Lynn Bumerts. LPA observed ten children present. There are no bodies of water or firearms on the premises. Disinfectants and cleaning solutions are inaccessible to children. Poisons are locked. Furniture and equipment are in good condition. All storage containers for solid waste, including moveable bins, have tight fitting covers. The licensee takes measures to keep the facility free of flies, other insects, and rodents. The facility has age-appropriate furniture and equipment including, but not limited to cots or mats. A baby walker is not allowed on the premises. The facility has sufficient infant napping equipment. The facility has indoor activity space for infants that is physically separate from space used by preschool or school-age children. The child care center is clean, safe, sanitary, and in good repair at all times. Facility has one or more functioning carbon monoxide detectors. Bottles, dishes, and containers of food brought by the infant's authorized representative are labeled with the infant's name and the current date. This facility provides AM and PM snack and lunch. Meals are brought in by the parents. LPA observed the changing tables to have padding at least one inch thick. The facility ensures that each infant is never left unattended, and under the direct visual supervision of a staff person at all times. 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 licensee ensures that personnel records are maintained on the licensee, administrator, and each employee.
Continued on next page LIC 809-C
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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: ST. JOHN'S CHILDREN CENTER
FACILITY NUMBER: 153808206
VISIT DATE: 12/11/2019
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The facility does not provide Incidental Medical Services – IMS at this time. The facility ensures that staff being utilized as infant teachers during the compliance review meet the qualification requirements. Menus are posted at least one week in advance in a place visible by the child's authorized representative, dated, and kept on file for 30 days, and are made available on request. At least one person trained in Pediatric CPR and First Aid is present when children are at the facility or at offsite activities. LPA reviewed with licensee the Mandated Child Abuse Reporter Training, which all staff have completed. 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. Day and hours of operation are Monday through Friday; 7:00 AM to 6:00 PM.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today. Licensee was provided a LIC 9213 Notice of Site Visit form that is required to be posted for 30 days. A copy of this report was also provided to the licensee and shall be made available to the public upon request.

Exit interview was conducted with Lynn Bumerts. To order forms, etc. visit our website at www.ccld.ca.gov.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
LIC809 (FAS) - (06/04)
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