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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203801809
Report Date: 06/04/2019
Date Signed: 06/04/2019 12:04:16 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:MADERA CHILD DEVELOPMENT CENTER*FACILITY NUMBER:
203801809
ADMINISTRATOR:GARCIA, RACHELFACILITY TYPE:
850
ADDRESS:1205 SONORA STREETTELEPHONE:
(559) 674-1972
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:84CENSUS: 74DATE:
06/04/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Rachel GarciaTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Juvenal Moctezuma and LPM Diana De Leon conducted an unannounced Annual/Random inspection and met with Director, Rachel Garcia. LPA explained the reason of the inspection and tour of the center was conducted both inside and outside. This preschool operates in classrooms 1, 2, 3, and 4. Classrooms 1 and 2 operate from August to June and have AM and PM sessions from 08:00 AM to 11:00 AM and 12:00 PM to 03:00 PM. Classrooms 3 and 4 operate year round, full days.

All 4 classrooms were observed to be clean and free of toxins during the inspection. LPA observed plenty of age appropriate toys inside each classroom, books, coloring materials, and small tables and chairs. Furniture, toys and equipment were observed to be clean and in good repair. LPA observed areas were observed to be free of hazards. There is water available both inside and outside. Menus are posted inside each classroom. Rachel stated there are no guns/weapons at the center. LPAs did not observe any bodies of water on the property. All food is prepared on site in the kitchen located in the church portion of this site. Full day children receive breakfast, AM snack, lunch, and PM snack. The morning children receive breakfast and AM snack; afternoon children receive lunch and a PM snack. All food is served in the classroom and left over food is discarded immediately. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, are in good repair.

The center does provide IMS. The medication is stored inside the licensees office that's made inaccessible to children in care. At least one teacher is current with their CPR/FIRST AID, which is good until 02/09/2021. 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 children in every day. A sampling of children's files were reviewed and everything was complete and up to date. During the review of Staff Files and interviewing Rachel, it was found that 7 teachers did not have proof of the immunization requirements.

Report Continued on LIC 809- C
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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: MADERA CHILD DEVELOPMENT CENTER*
FACILITY NUMBER: 203801809
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/04/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2019
Section Cited
HSC
1596.7995(a)(1)
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Employees or volunteers at day care center; immunization requirements; records; exemptions. Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and
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Director agrees to submit proof of immunization's for all 7 Teachers by no later than 06/28/2019 to CCL.
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volunteer shall receive an influenza vaccination... This requirement was not met as evidenced by File review and speaking with director that 7 teachers do not have proof of immunization requirements. This poses an potential health/risk to children in care
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2019
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: MADERA CHILD DEVELOPMENT CENTER*
FACILITY NUMBER: 203801809
VISIT DATE: 06/04/2019
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LPA provided Rachel Garcia a brochure regarding new lead guidelines. The bathroom was found clean and free of hazards or toxins during the inspection. There is a functioning carbon monoxide detector that meets statutory requirements. The outdoor play area was observed to be completely fenced, with age appropriate play structure and shade area. LPA reminded Rachel to rake the wood chips so they absorb the fall of the children. Required State forms were posted on the parent board.

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 todays inspection, The following type B deficiency was observed. Appeal rights were explained and provided to Rachel Garcia.

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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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