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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163808869
Report Date: 11/14/2019
Date Signed: 11/14/2019 02:25:46 PM

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:CENTRAL PRESCHOOLFACILITY NUMBER:
163808869
ADMINISTRATOR:PATTERSON, ALICEFACILITY TYPE:
850
ADDRESS:15783 18TH AVENUETELEPHONE:
(559) 924-7797
CITY:LEMOORESTATE: CAZIP CODE:
93245
CAPACITY:24CENSUS: 17DATE:
11/14/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Dianne PilgrimTIME COMPLETED:
02:40 PM
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An unannounced annual inspection was conducted today by Licensing Program Analysts (LPAs) Ruby Ocegueda and Kathy Pacheco. LPAs met with Dianne Pilgrim, Teacher On Special Assignment (TOSA) who is currently filling in for lead teacher until one is hired. LPAs toured the facility, both indoors and outdoors. There were 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. Disinfectants, cleaning solutions and other dangerous items were inaccessible to children. No poisons were observed during today’s inspection. All materials and surfaces accessible to children were observed to be toxic free. All toilets and hand washing facilities were safe and in sanitary operating conditions. All floors were clean and safe. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All food prep, and storage areas were clean, free of litter, rubbish, and rodents/vermin. All food was observed to be protected from contamination, and contaminated food is discarded immediately. Solid waste storage vessels, including moveable bins, had tight-fitting covers on, and were in good repair. Uncontaminated drinking water was 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 has one or more functioning carbon monoxide detectors that meet statutory requirements. Outdoor play area was inspected today. Playground equipment is in good condition, free of sharp, loose, or pointed parts. It was observed that areas around climbing equipment and slides have cushioning material to absorb falls.

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: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
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: CENTRAL PRESCHOOL
FACILITY NUMBER: 163808869
VISIT DATE: 11/14/2019
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Community Care Licensing (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 were reviewed today. 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. Children's files were reviewed and contained all required forms and proof of required immunization's.

This is an AM/PM half day program. The morning session is from 8:15 am to 11:15 am and the afternoon session is from 12:15 pm to 3:15 pm, Monday through Friday.

Required CCL forms were posted on parent's board.

Incidental Medical Services (IMS) is not being provided. Licensee understands that if IMS is provided, they must submit a an IMS plan to CCL.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies were observed today. Exit interview was conducted with Dianne Pilgrim.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.



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: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 11/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019
LIC809 (FAS) - (06/04)
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