203808298-2-3-2020-04-CC-CROZ-BLFT84-20200203132942

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203808298
Report Date: 02/03/2020
Date Signed: 02/03/2020 01:29:50 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:	INDIAN SPRINGS CHILDREN'S CENTER		FACILITY NUMBER:	203808298
ADMINISTRATOR:	BOREN,JEAN		FACILITY TYPE:	840
ADDRESS:	40088 INDIAN SPRINGS ROAD		TELEPHONE:	(559) 683-7654
CITY:	OAKHURST	STATE: CA	ZIP CODE:	93644
CAPACITY:	24	CENSUS: 0	DATE:	02/03/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Jean Boren		TIME COMPLETED:	01:50 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 02/03/2020, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced annual inspection. LPA met with Director Jean Boren and toured the facility indoors and outdoors. There were no school age children present during this inspection. This facility operates year-round, Monday through Friday, 6:30AM to 6:00PM. There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a child care center. The facility is clean, sanitary and in good repair at all times to ensure the health and well-being of children, employees, and visitors. In combination programs, outdoor activity space provided for school-age children is physically separate from space provided for preschool age children. No poisons were observed during this inspection. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. All toilets, hand washing, and bathing facilities are in safe and sanitary operating condition. All floors are clean and safe. All kitchen, food preparations and storage areas are kept clean, free of litter, rubbish, and free of rodents and other vermin. All storage containers for solid waste, including moveable bins, have tight-fitting covers that are kept on, and in good repair. Uncontaminated drinking water is readily available both indoors and out. Outdoor activity space surfaces are free of hazards. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Fire drills are conducted at least once every six months as required. The last fire drill was conducted in 09/2019. There is a separate, complete, and current record maintained for each child enrolled in this facility. Each child's record contains a medical assessment. (Continued on LIC 809-C)

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020

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: INDIAN SPRINGS CHILDREN'S CENTER	FACILITY NUMBER: 203808298
	VISIT DATE: 02/03/2020

NARRATIVE

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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 childcare facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility.

The licensee shall not exceed the approved capacity of the fire clearance for the facility. No child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time.

Incidental Medical Services (IMS) was discussed. The following information regarding Americans with Disability Act (ADA) was provided: US Department of Justice toll free ADA Information line at (800) 514-0301(voice) and (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm for Commonly Asked Questions about Child Care Centers and the ADA.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations. LPA gave Director a copy of the PIN 20-01-CCP, regarding lead testing for drinking water in licensed child care centers.

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

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: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2020

LIC809 (FAS) - (06/04)

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