163808163-8-3-2022-57-CC-PESA-CGXTUQ-20220803150244

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 163808163
Report Date: 08/03/2022
Date Signed: 08/03/2022 03:02:54 PM

Document Has Been Signed on 08/03/2022 03:02 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	KCOE KIT CARSON PRESCHOOL		FACILITY NUMBER:	163808163
ADMINISTRATOR:	VILLA, REBECCA		FACILITY TYPE:	850
ADDRESS:	9895 7TH AVENUE		TELEPHONE:	(559) 584-3015
CITY:	HANFORD	STATE: CA	ZIP CODE:	93230
CAPACITY:	24	CENSUS:	DATE:	08/03/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Marlene Tapia, Preschool Administrator		TIME COMPLETED:	03:15 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	On 08/03/2022, Licensing Program Analyst (LPA) Pete Espinoza conducted an announced Case Management inspection and met with Marlene Tapia, Preschool Administrator. The preschool is located in Room 32 on the campus of Kit Carson Elementary School located at 9895 7th Avenue in Hanford 93230. This a temporary move as result of new preschool classroom being constructed on Campus. Applicant is requesting a capacity of 20 preschool children ages 2-6 years old. This is an AM/PM half day program which operates on a traditional school year schedule. Days and hours of operation are Monday through Friday. This program provides two sessions. AM session from 8:30 AM to 11:30 AM. PM session is from 12:30 PM to 3:30 PM. Children will be escorted by their parents to the classroom on campus. Preschool will provide lunch only. Meals are prepared in the school cafeteria. Meals are delivered to classroom and children eat in the classroom. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Menus are posted at least one week in advance where an authorized representative can view them. Ill children will be isolated in the school nurse's office and utilize the restroom in school nurse's office. The classroom was observed to be clean and free of toxins. LPA observed that the furniture and equipment appeared to be safe and in good condition. There are enough tables, chairs, cots, and plenty of toys for children to play. There is a working carbon monoxide detector. Room measurements were taken and reviewed with Administrator. The total inside preschool area measured to an approximate 722 square feet which will accommodate the requested capacity of 20 preschool children at a time. Continued on 809-C

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Peter Espinoza	TELEPHONE: (661) 644-8231
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022

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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: KCOE KIT CARSON PRESCHOOL	FACILITY NUMBER: 163808163
	VISIT DATE: 08/03/2022

NARRATIVE

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Children will use restrooms located on campus next to Cafeteria. Applicant will submit request for waiver to share play area with students Kit Carson Elementary School. A total of two (2) toilets, one (1) urinal and two (2) handwashing sinks in the restrooms will accommodate the requested capacity of 20 preschool children. Applicant will submit request for waiver to share play area with students Kit Carson Elementary School. Per Administrator, staff will supervise children to and from restrooms when needed. LPA reminded Administrator, to provide adequate supervision at all times and to not commingle elementary school children with preschool children.

The approximate outside square footage for the preschool area is 2.327 which will accommodate requested capacity of 20 Preschool Children. The preschool play area is shared with kindergarten classes. Applicant will submit request for waiver to share play area with kindergarten classrooms from Kit Carson Elementary School. LPA observed large play structure that is NOT age appropriate. Staff will supervise children to ensure they do NOT use structure. The play area consists of the cemented area between office and kindergarten classroom 1 and grass area from north corner of office to north corner of kindergarten classroom 1, extending west to the bike path bordering play structure. There is shade available where children can rest and get water. LPA reminded Administrator, to provide adequate supervision at all times and to not commingle elementary school children with preschool children.

A fire clearance of 24 preschool children/infant/school age was approved & granted by the Kings County Fire Department on 08/01/2022.

The following items must be completed prior to issuing a license..

Applicant will submit request for waiver to share play area with students Kit Carson Elementary School.
Applicant will submit request for waiver to share play area with kindergarten classrooms from Kit Carson Elementary School.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Peter Espinoza	TELEPHONE: (661) 644-8231
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022

LIC809 (FAS) - (06/04)

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