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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808806
Report Date: 10/16/2019
Date Signed: 10/16/2019 12:49:46 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:EDISON PRESCHOOLFACILITY NUMBER:
153808806
ADMINISTRATOR:ANDREWS, ERICAFACILITY TYPE:
850
ADDRESS:1036 VINELAND ROADTELEPHONE:
(661) 363-5394
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:113CENSUS: 125DATE:
10/16/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Erica AndrewsTIME COMPLETED:
01:15 PM
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A case management inspection was conducted. LPA Brannon met with Director Erica Andrews and Site Supervisor Rosalva Banuelos. LPA toured facilty with Erica Andrews and Rosalva Banuelos. The center is located at Orangewood Elementary School. The licensee is Edison Elementary School District. The licensee is increasing their capacity from 113 to 152: 24 toddlers in the toddler option program and 128 preschool children. Licensee will be utilizing classrooms #1, #2, #3, #4, #25, #26, and #27. The toddlers will be in classrooms #1 and #2.

During today's visit, a census of 125 was taken. This program has a licensed capacity of 113. Staff called 12 parents to take their children home. LPA arrived at the facility at 8:00 am. The last of the 12 preschool children left at 11:52 am.

Licensee has playground waiver in place. This program will operate year round from 6:30 AM to 4:40 PM. Breakfast, lunch, and an afternoon snack will be provided and prepared off site at the Edison Middle School. Ill children and staff will utilize the bathroom located near the director's office. Ill children will be isolated in director's office. School nurse is utilized as needed.
CONTINUED ON FOLLOWING PAGE
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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: EDISON PRESCHOOL
FACILITY NUMBER: 153808806
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/16/2019
Section Cited

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Limitations on Capacity and Ambulatory Status. A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met as evidenced by
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census taken during today's visit. Facility had a census of 125. This facility has a licensed capacity and fire clearance of 113 children. This is an immediate risk to the health, safety and personal rights of the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:
DATE: 10/16/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2019
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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: EDISON PRESCHOOL
FACILITY NUMBER: 153808806
VISIT DATE: 10/16/2019
NARRATIVE
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Room measurements taken and reviewed with Erica Andrews. There are 7 classrooms that will be used by preschool/toddler option children. The total preschool square footage is 5601 which will accommodate the requested capacity of 152 preschool children.

In classroom #25, licensee is utilizing a PVC divider with fabric to keep the HVAC unit and cots inaccessible to children.
Toys and equipment are age appropriate. Licensee has storage for facility's equipment and toys.

Outdoor measurements were previously taken on 9/3/2013. The square footage is 6625. Licensee has an outdoor play waiver in place. Licensee provided a schedule for outside play. Adequate shade is available in the outdoor activity area. Licensee is utilizing cushioning around the shade structure metal poles. The applicant is using wood chips for cushioning under the outdoor climbing structures.

There are 12 toilets and 11 sinks/hand washing fixtures in the children's bathrooms which will accommodate the requested capacity of 152 children. LPA reviewed with staff that the children's restrooms are not to be used as storage area. There is are drinking water fountains in the classrooms.
The fire clearance has been received and approved for 152 children.
CONTINUED ON FOLLOWING PAGE
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: EDISON PRESCHOOL
FACILITY NUMBER: 153808806
VISIT DATE: 10/16/2019
NARRATIVE
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Licensee is aware of Incidental Medical Services (IMS). At this time, licensee does not have children requiring IMS.

Type A deficiency was cited. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. Per California Code of Regulations Title 22, Division 12, this deficiency to be cited. Exit interview conducted with site supervisor, Rosalva Banuelos. POC/Appeal Rights were given and discussed. A copy of this report need to be placed in facility file for public review. A Notice of Site Visit was posted on parent board.

Pending a final file review, a recommendation will be made to license the above facility for a capacity of 152 children. The capacity consists of 24 toddler option children and 128 preschool children.

The following documents should be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)

To order forms, etc. visit our website at www.ccld.ca.gov.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
LIC809 (FAS) - (06/04)
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