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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203801228
Report Date: 05/25/2023
Date Signed: 05/26/2023 10:47:48 AM


Document Has Been Signed on 05/26/2023 10:47 AM - 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:EASTON ARCOLA MIGRANT HEAD STARTFACILITY NUMBER:
203801228
ADMINISTRATOR:SANDOVAL, SYLVIAFACILITY TYPE:
830
ADDRESS:29551 AVENUE 8TELEPHONE:
(559) 673-0452
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY:12CENSUS: 3DATE:
05/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Sylvia Sandoval TIME COMPLETED:
03:20 PM
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On 5/25/23 Licensing Program Analyst (LPA) Denisia Jimenez and Licensing Program Manager (LPM) Juvenal Moctezuma arrived at facility to conduct an unannounced Annual Required Inspection. LPA and LPM met with Site Supervisor, Sylvia Sandoval and toured the facility. The facility consists of 1 infant classroom. This facility operates from 6:00am-4:00pm, Monday-Friday from May to November. LPA confirmed facility has a working telephone number of 559-416-5624. LPA observed 3 infants in Classroom with 1 teacher and 1 instructional aide. Facility was operating within their ratio requirements. LPA observed all required postings. All individuals present have obtained a criminal record clearance.
LPA observed the playground area utilized by infants is surrounded by appropriate fencing and the outdoor surfaces are safe for the infants. While touring the outdoor play yard LPA observed a cockroach inside the play equipment. LPA brought it to the Site Supervisor’s attention. Site Supervisor stated that they came to spray for bugs yesterday. LPA reminded licensee the importance of checking the centers surroundings before opening. Site Supervisor understood. LPA observed that the outdoor equipment is age appropriate (0-2years old) and in good condition. Shade is provided by a building overhang in the playground. Licensee stated that there are no bodies of water present in the facility, LPA did not observe any bodies of water. Furniture and equipment were inspected for good repair, free of sharp, loose, or pointed parts and all equipment appeared fine during the inspection. Licensee stated that there are no weapons on the premises
During the inspection, LPA observed in the classroom 4 cribs, 2 changing tables with 2 sinks next to it, and 8 cubby holes for infants to put their belongings.
Food menus were reviewed, the Site supervisor stated they are posted at least one week in advance and posted for parents to see. The center provides Formula and is brought over from the kitchen to the classroom and stored in the cabinet. Bottles are labeled with the infant’s name, date, and time each day. All kitchen, food preparation, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination. Infants are provided with drinking water in their sippy cups. All storage containers for solid waste, including moveable bins, have tight fitting covers on and are in good repair. Facility has functioning smoke detector/carbon monoxide detector and a complete first aid kit.
(Continued on 809-C)
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Denisia JimenezTELEPHONE: (559) 767-0718
LICENSING EVALUATOR SIGNATURE:
DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/25/2023
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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: EASTON ARCOLA MIGRANT HEAD START
FACILITY NUMBER: 203801228
VISIT DATE: 05/25/2023
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LPA reviewed 1 infant file. Infant Record was reviewed for completeness and inspection of required forms was made. LPA reviewed 2 staff files. The center just opened May 8, 2023, so the infants have not submitted their Physicians report yet LIC 701. Site supervisor understands that these need to be submitted within 30 days of enrollment. Sylvia stated that they will obtain these as soon as possible. Upon reviewing staff files, LPA observed that Staff #2 was missing a TB test and a Mandated Reporter Training certificate. Licensee stated Staff #2 will complete the Mandated Reporter Training on 05/26/23. The rest of the files contain the required transcripts/verification of experience/immunization records, and Health Screening Report. At least one staff has a current CPR and First Aid certification. Site Supervisor understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips).
The Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The Site Supervisor states that the facility does administer medication to children. Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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.

Assembly Bill 2370, Chapter 676, Statutes of 2018 requires all Child Care Centers (CCCs) that are in buildings constructed before January 1, 2010 to test their drinking water for lead contamination by January 1, 2023 and every 5 years thereafter. This facility has provided evidence that their kitchen sink has been tested and has no exceedance.

(Continued on 809-C)

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Denisia JimenezTELEPHONE: (559) 767-0718
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: EASTON ARCOLA MIGRANT HEAD START
FACILITY NUMBER: 203801228
VISIT DATE: 05/25/2023
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LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted, appeal rights and report was reviewed with the Site Supervisor Sylvia Sandoval. A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Denisia JimenezTELEPHONE: (559) 767-0718
LICENSING EVALUATOR SIGNATURE:

DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/25/2023
LIC809 (FAS) - (06/04)
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