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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 160403101
Report Date: 11/10/2021
Date Signed: 11/10/2021 10:45:28 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:KAYLA RASBEARYFACILITY TYPE:
850
ADDRESS:118 N. HEINLEN STREETTELEPHONE:
(559) 924-7336
CITY:LEMOORESTATE: CAZIP CODE:
93245
CAPACITY:24CENSUS: 16DATE:
11/10/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Kayla RasbearyTIME COMPLETED:
11:00 AM
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On 11/10/2021, Licensing Program Analyst (LPA) Ruby Ocegueda conducted an unannounced case management inspection for the purpose of discussing Covid-19 guidance and requirements. Before entering the facility, LPA conducted a Covid-19 safety screening. LPA met with Director Kayla Rasbeary who oversees this facility which operates as a parent co-op. LPA toured the facility and took a census.

LPA had a discussion with Director Rasbeary about Covid-19 safety requirements, including the requirement for staff and children to wear masks despite vaccination status. Director Kayla indicated that the facility currently leaves it up to the parents whether they choose for their child to wear a mask or not. LPA reminded Director that the Departments requirement indicates masks should be worn by any person over the age of two years of age. LPA provided guidance on ways to encourage children to wear them and that the facility should make a daily attempt to remind children to wear their masks. LPA encouraged Director to provide parents with the Departments current Covid-19 requirements. LPA reminded Director that masks should not be worn while children are sleeping and are not required while outside, per the current guidance. LPA encouraged Director to review her local county health guidance and follow the stricter guidance if it differed from our Departments guidance.

Director Kayla was receptive to the information provided today and stated she understood the requirement. Director Kayla stated that she had access to the most up to date guidance and access to Covid-19 information resources via the Department's website ccld.ca.gov. Director indicated that she is singed up to receive the Provider Information Notices (PINS).

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 (LIC 9213) 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: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
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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