203801227-2-9-2020-04-CC-JMOA-BLN5DF-20200209185148

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203801227
Report Date: 01/29/2020
Date Signed: 02/09/2020 06:52:05 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:	SIERRA VISTA MIGRANT HEAD START		FACILITY NUMBER:	203801227
ADMINISTRATOR:	LOPEZ, ELIZABETH		FACILITY TYPE:	830
ADDRESS:	917 E. OLIVE AVENUE		TELEPHONE:	(559) 675-8620
CITY:	MADERA	STATE: CA	ZIP CODE:	93638
CAPACITY:	24	CENSUS: 18	DATE:	01/29/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Lina Bojorquez		TIME COMPLETED:	12:30 PM

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Licensing Program Analyst (LPA) Juvenal Moctezuma conducted an unannounced Annual/Random Inspection and met with Center Director, Lina Bojorquez and Area Manager, Norma Blanco. The purpose of the inspection was discussed with Lina and a tour of the center was conducted both inside and outside. LPA observed a total of 18 infants in 2 designated classrooms being supervised by teachers and aides.

Center operates year round from 06:30 am to 04:30 pm Monday thru Friday. The napping equipment meets regulation requirements. The sheets and infant sleep sacks are washed everyday. The changing table meets regulation requirements and was placed next to a sink for hand washing. The refrigerator inside the infant classroom contains each child's individual food/formula labeled. LPA reminded Lina to make sure the bottles all have the children's names and date.

Furniture, toys and equipment were observed to be clean and in good repair. LPA observed areas were observed to be free of hazards. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children, are inaccessible to children. There is water available for the infants (individual sippy cups). Lina stated there are no guns/weapons at the center. LPA did not observe any bodies of water on the property. Playground equipment observed to be safe and free of hazards. LPA reminded licensee to make sure she checks the outdoor play area before infants/toddlers go outside and play.

The infants' Needs/Services plans and individual feeding plans were reviewed. Lina stated that the infant needs and services get updated every two to three months or unless the feeding plan changes. At least one teacher is current with their CPR/FIRST AID. Parent Sign in / sign out sheet was reviewed. LPA reminded licensee to review the sign in and sign out sheet everyday and make sure parents are signing their infants in every day. A sampling of infants files were reviewed and everything was completed. Staff records reviewed contain appropriate documentation of education credits. All staff present today have a criminal record clearance.

Report Continued on LIC 809- C

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020

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: SIERRA VISTA MIGRANT HEAD START	FACILITY NUMBER: 203801227
	VISIT DATE: 01/29/2020

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Lina stated that the center provides Incidental Medical Services (IMS). Lina stated that each classroom stores the medication in a locked cabinet. The facility ensures that staff being utilized as infant teachers meet the qualification requirements. Menus and schedules are posted. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Reviewed Safe Sleep Guidelines with Lina and provided her with a brochure regarding safe sleep and new lead guidelines. LPAs reminded licensee that there are no toys, blankets, or any other objects allowed inside a crib. Lina understood and stated that she will read and comply with the regulations once they take affect.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

During today's inspection the center is in compliance of Title 22 Division 12 and Health and Safety Regulations. No deficiencies were observed.

LPA observed licensee post the Notice of Site visit.
FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2020

LIC809 (FAS) - (06/04)

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