<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810082
Report Date: 08/16/2019
Date Signed: 08/16/2019 04:46:15 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:BCSD/WILLIAMS ELEMENTARY PRE-KINDERGARTENFACILITY NUMBER:
153810082
ADMINISTRATOR:JAZMINE FRIASFACILITY TYPE:
850
ADDRESS:1201 WILLIAMS STTELEPHONE:
(661) 631-4936
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93305
CAPACITY:24CENSUS: 0DATE:
08/16/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:Storiann CampsTIME COMPLETED:
05:00 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
A prelicensing inspection visit was conducted on this date by Licensing Program Analyst (LPA) Brannon, who met with Coordinator, Storiann Camps . The center is located at Williams Elementary School. The licensee is requesting a capacity of 24 preschool children. This program will operate traditional school year. Facility is providing two sessions. Morning session starts at 8:00 am to 11:00 am, and 11:45 am to 2:45 pm; Monday thru Friday. Breakfast and lunch are provided at the school cafeteria.
Ill children and staff will utilize the bathroom located in the staff office. Ill children will be isolated in staff office until parents pick up their sick child. Room measurements taken and reviewed with Storiann Camps. There is one classroom that will be used by preschool children. The total preschool square footage is 975 which will accommodate the requested capacity of 24 preschool children.
Adequate storage space available for children's belongings. Outdoor locked storage shed is available for toys and equipment. Toys and equipment are age appropriate.
CONTINUED ON FOLLOWING PAGE
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: BCSD/WILLIAMS ELEMENTARY PRE-KINDERGARTEN
FACILITY NUMBER: 153810082
VISIT DATE: 08/16/2019
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
26
27
28
29
30
31
32
Outdoor measurements taken on this date total 4732 square feet which will accommodate the requested capacity of 24 preschool children. Adequate shade is available in the outdoor activity area. Licensee is utilizing a mature tree for shade. The applicant is using rubber chips for cushioning under the outdoor climbing structure.
There are two toilets and two sinks/hand washing fixtures in the children's bathrooms which will accommodate the requested 24 preschool children. There is a drinking water fountain for the outside drinking water. There is a drinking water fountain for the indoor drinking water.
The fire clearance has been received and approved for 24 preschool children.
This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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 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

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 24 preschool 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: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: BCSD/WILLIAMS ELEMENTARY PRE-KINDERGARTEN
FACILITY NUMBER: 153810082
VISIT DATE: 08/16/2019
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
26
27
28
29
30
31
32
During today's visit, LPA provided a handout that contained the following information: Provider Information Notices; Child Abuse Mandated Reporter Training that meets AB1207 requirements; Effects of Lead Exposure and Safe Sleep.

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: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3