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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 160407116
Report Date: 02/03/2020
Date Signed: 02/04/2020 08:59:11 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:KINGS RIVER-HARDWICK PRESCHOOLFACILITY NUMBER:
160407116
ADMINISTRATOR:GOLDRING, LESLIEFACILITY TYPE:
850
ADDRESS:10300 EXCELSIOR AVENUETELEPHONE:
(559) 584-4475
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:24CENSUS: 21DATE:
02/03/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Mani FrauenheimTIME COMPLETED:
11:30 AM
NARRATIVE
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On this date, Licensing Program Analyst (LPA) Kathy Pacheco and LPA Ruby Ocegueda conducted an unannounced annual/random inspection. LPAs met with Lead Teacher, Mani Frauenheim. A tour of the facility was conducted, inside and outside, as shown on the facility sketch. There were no bodies of water, firearms and/or ammunition on the premises. Disinfectants, hazardous items and medications were inaccessible to children. The facility did not have a carbon monoxide detector in the preschool classroom. Storage area for poisons was locked and inaccessible to children. Furniture, equipment and materials were sufficient, age appropriate, in good repair and toxic free. The playground equipment and outdoor activity space was maintained and in good condition, free of hazards with adequate cushioning material, however, the sand box did not have a cover on it. Children's toilets and hand washing facilities were sanitary and in good operating condition. Rooms and floors were safe and clean. Food preparation area was clean and free of rodent and other vermin. This facility only provides snacks for the classroom. Contaminated food was discarded immediately, when applicable. Storage containers for solid waste were in good repair but did not have tight-fitting covers. Sanitary drinking water was available both indoors and outdoors. The Licensee was taking measures to keep the facility free of insects, rodents, etc. No excluded adults were present at the facility. Conditions, limitations and capacity specified on license were in compliance. Criminal record clearance records were completed as condition for employment and maintained by the Kings River-Hardwick School District. First Aid/CPR reviewed and in compliance. Qualified staff designated to act in the Director’s absence was reported accordingly. Sign In/Sign Out sheets had a full legal signature and time of day. Teacher/child ratios were maintained and adequate supervision was provided during inspection.

LPAs provided Licensee with information regarding AB 2370, Chapter 676, Statutes of 2018, requiring child care providers to inform parents and/or guardians with lead safety information.

Incidental Medical Services (IMS) policy was discussed. Licensee is aware that an IMS plan is required to be submitted to the Licensing office if they provide any of these services. (continued on next page)
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
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: KINGS RIVER-HARDWICK PRESCHOOL
FACILITY NUMBER: 160407116
VISIT DATE: 02/03/2020
NARRATIVE
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A sample of children's and staff’s records were reviewed. Children’s records included required medical and consent for emergency medical treatment. Documentation was provided for completion of required Mandated Reporter Training for all staff, however, not all of the staff files contained documentation required by Community Care Licensing (CCL) (see California Code of Regulations, Title 22, Division 12, Chapter 1: 101217(a) (1) - (14), as well as, Health and Safety Code 1596.7995(a)(1)).

Operating hours are Monday through Friday 8:15 AM – 11:45 AM. This facility operates on the traditional school calendar.

The facility is required to update LIC 500, LIC 610, and LIC 308 and send to CCL Fresno Regional Office.

The following was cited per California Code of Regulations, Title 22, Division 12: (see next page)

Exit interview was conducted with Mani Frauenheim. Copies of this report, appeal rights, and Notice of Site Visit were provided to facility.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020
LIC809 (FAS) - (06/04)
Page: 3 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: KINGS RIVER-HARDWICK PRESCHOOL
FACILITY NUMBER: 160407116
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/03/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/07/2020
Section Cited

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Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement was
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not met as evidenced by LPAs' observation of no carbon monoxide detector in the classroom. This poses a potential risk to the health, safety, or personal rights of children in care.
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Type B
02/07/2020
Section Cited

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The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement was not met as evidenced by LPAs' review of file for staff #1 that did not contain required CCL documentation. This poses a potential risk to the health, safety, or
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personal rights of 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: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:
DATE: 02/03/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/03/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3