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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 160403101
Report Date: 12/04/2019
Date Signed: 12/04/2019 11:21:03 AM

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:LEMOORE PRESCHOOLFACILITY NUMBER:
160403101
ADMINISTRATOR:RENNER, LISAFACILITY TYPE:
850
ADDRESS:118 N. HEINLEN STREETTELEPHONE:
(559) 924-7336
CITY:LEMOORESTATE: CAZIP CODE:
93245
CAPACITY:24CENSUS: 22DATE:
12/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Lisa RennerTIME COMPLETED:
11:35 PM
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On this date an unannounced annual inspection was conducted by Licensing Program Analysts (LPAs) Ruby Ocegueda and Robert Gutierrez. LPA's met with director, Lisa Renner. This is a cooperative parent preschool. LPA's toured the facility inside and outside as shown on the facility sketch. No bodies of water were present. There were no firearms or weapons on the premises. All children present receive direct visual supervision at all times. Facility is operating within the approved licensed capacity at this visit. Cleaning solutions and other toxic products were observed to be in inaccessible areas. There were no poisons observed. All toilets, hand washing, and bathing facilities are in safe and sanitary condition. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Solid waste storage vessels, including moveable bins, have tight fitting covers on, and are in good repair. Uncontaminated drinking water is available both indoors and out. Licensee does not provide meals for day care children. The parents provide snacks. The facility hours of operation are Monday - Wednesday - Friday from 8:30 am to 11:30 am and Tuesday - Thursday from 8:30 am to 10:55 am. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in safe condition and free of hazards. Areas under/around high climbing equipment, swings, and slides have sufficient cushioning material to absorb falls. Licensee is using wood chips as cushioning. Licensee does not exceed the conditions, limitations, and capacity specified on the license. CCL shall notify a licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons. The licensee shall comply with the notice. All individuals subject to a criminal record review have a clearance or exemption and are associated to the facility. LPA's reviewed two staff files today and four children's files. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off site activities. CPR expires on 4/2021. Children's files inspected contained all required documents and proof of required immunization's.

Report continued on 809-C
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2019
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 2
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: LEMOORE PRESCHOOL
FACILITY NUMBER: 160403101
VISIT DATE: 12/04/2019
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All staff have required Mandated Reporter Training AB1207 and all required immunization's were verified. The person who signs the child in/out uses their full legal signature and records the time of day. Child's admission agreement is available for review.

This facility does not provide Incidental Medical Services (IMS) at this time. Director is aware that if IMS is ever provided, a written plan must be submitted to the department.

An exit interview was conducted with director Lisa Renner, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address. LPAs and licensee also discussed the Community Care Licensing Division's website, www.ccld.ca.gov. It is recommended that licensee's check the website often as the State of CA no longer mails updates to each licensee. LPAs and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) that allows licensee's to sign up and receive updates that are emailed directly. The website also has current information for providers including the Quarterly Update that inform licensee of new legislation and regulations.

Per California Code of Regulations Title 22, Division 12, no deficiencies were cited today.



A COPY OF THIS REPORT MUST REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
NOTICE OF SITE VISIT FORM POSTED TO PARENT'S BOARD.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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