163801191-2-12-2020-04-CC-ROCA-BLQPWF-20200212104039

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 163801191
Report Date: 02/12/2020
Date Signed: 02/12/2020 10:40:49 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:	LYNDON B. JOHNSON HEAD START CENTER		FACILITY NUMBER:	163801191
ADMINISTRATOR:	SANCHEZ, APRIL		FACILITY TYPE:	850
ADDRESS:	573-A BUSH STREET		TELEPHONE:	(559) 925-1792
CITY:	LEMOORE	STATE: CA	ZIP CODE:	93245
CAPACITY:	20	CENSUS: 12	DATE:	02/12/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Lindsey DeVries		TIME COMPLETED:	11:00 AM

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	On this date, 2/11/2020 , Licensing Program Analysts (LPA’s) Ruby Ocegueda and Kathy Pacheco conducted an unannounced annual inspection. LPAs met with Director Lindsey DeVries and toured the facility, both indoors and outdoors. There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. All children were under supervision, including visual supervision, of a teacher at all times. There was a ratio of one teacher supervising no more than 12 children in attendance. There were no disinfectants, cleaning solutions and other dangerous items observed to be accessible today. No poisons were observed during today’s inspection. Director understands that storage areas for poisons should be locked. All materials and surfaces accessible to children were toxic free. All toilets, hand washing, and bathing facilities were in safe and sanitary operating conditions. All floors were clean and safe. Furniture and equipment were in good condition, free of sharp, loose, or pointed parts. All kitchen, food prep, and storage areas were clean, free of litter, rubbish, and rodents/vermin. All food was protected from contamination, and contaminated food is discarded immediately. This facility prepares and serves breakfast and lunch to the A.M. class and lunch and snack to the P.M. class. Solid waste storage vessels, including moveable bins, have tight-fitting covers on and were in good repair. Uncontaminated drinking water was observed to be available both indoors and outdoors. All foods/beverages capable of rapid spoiling were stored in covered containers at 45 (F) or less. Menus were posted at least one week in advance, where an authorized representative can view them. Facility had one or more functioning carbon monoxide detectors that met statutory requirements. Playground equipment was in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface was maintained in a safe condition and was free of hazards. Areas around high climbing equipment, swings, and slides had adequate sand to support any falls. Report continued on 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020

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: LYNDON B. JOHNSON HEAD START CENTER	FACILITY NUMBER: 163801191
	VISIT DATE: 02/12/2020

NARRATIVE

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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. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. Staff records contain appropriate, documentation of education credits. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. Child's admission agreement is available for review.

This is an AM/PM program which operates on a traditional school year schedule. The morning session is 8:00 AM to 11:30 AM and the afternoon session is from 1:00 PM to 4:30 PM, Monday through Thursday.

Incidental Medical Services (IMS) policy was discussed. IMS is not currently being provided. Director understands that if IMS is ever provided an IMS plan must be submitted to the Licensing Department.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies were observed today. Site Visit Notice was posted on the parent board. Exit interview was conducted with Director Lindsey DeVries.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ruby Ocegueda	TELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020

LIC809 (FAS) - (06/04)

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