203810070-6-16-2021-04-CC-CROZ-C42NJ9-20210616102959

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203810070
Report Date: 06/16/2021
Date Signed: 06/16/2021 10:30:20 AM

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:	YOSEMITE LAKES COMMUNITY CHURCH KIDS IN CHRIST		FACILITY NUMBER:	203810070
ADMINISTRATOR:	DRINNON, FAITH		FACILITY TYPE:	840
ADDRESS:	43840 PATRICK AVE		TELEPHONE:	(559) 440-6777
CITY:	COARSEGOLD	STATE: CA	ZIP CODE:	93614
CAPACITY:	42	CENSUS: 10	DATE:	06/16/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Shana Morris		TIME COMPLETED:	11:00 AM

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 06/16/2021, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced annual inspection. LPA met with Site Supervisor (SS) Shana Morris and toured the facility indoors and outdoors. LPA observed 10 children and 2 staff. There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a childcare center. The childcare center is clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. This facility maintains a waiver allowing a shared outdoor activity space with the preschool program. School-age children and preschool children do not utilize the outdoor play area at the same time. Disinfectants, cleaning solutions, and other items that are dangerous to children, are inaccessible to children. No poisons were observed. 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 food preparation and storage areas are kept clean, free of litter, rubbish, rodents, and other vermin. Uncontaminated drinking water is readily available both indoors and out. Menus are 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 activity space surfaces are free of hazards. The areas around or under high climbing equipment, swings, slides and similar equipment are cushioned with material that absorbs a fall. The facility maintains compliance with staff-child ratios. (Continued on LIC 809-C)

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

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: YOSEMITE LAKES COMMUNITY CHURCH KIDS IN CHRIST	FACILITY NUMBER: 203810070
	VISIT DATE: 06/16/2021

NARRATIVE

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There is a separate, complete, and current record maintained for each child enrolled in the childcare center. Each child's record contains a medical assessment. Staff files are complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training.
Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. The licensee shall not exceed the approved capacity of the fire clearance for the facility.

Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off-site activities. Children are under supervision, including visual supervision, of a teacher at all times. The name of the child care center director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day.

Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if facility provides these services. 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, Lead Poisoning Facts, Forms and Regulations.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, no deficiencies are observed today. Site Visit Notice posted on the parent board.

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 Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 06/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021

LIC809 (FAS) - (06/04)

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