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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240404967
Report Date: 08/27/2019
Date Signed: 08/27/2019 12:46:47 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:BEAR COUNTRY PRE-SCHOOL & DAY CAREFACILITY NUMBER:
240404967
ADMINISTRATOR:WOLF, REGINA R.FACILITY TYPE:
850
ADDRESS:2115 WARDROBE AVENUETELEPHONE:
(209) 722-2327
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:75CENSUS: 28DATE:
08/27/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Regina Wolf - DirectorTIME COMPLETED:
01:00 PM
NARRATIVE
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On 8/27/2019 Licensing Program Analysts Joseph Pacheco and Luisa Gavoutian conducted an unannounced Annual/Required inspection. LPA met with Director, Regina Wolf, toured the facility inside and outside, and census was taken. Staff were spoken to during today’s visit. There are no bodies of water at this facility. Firearms and ammunition are not permitted on the premises. Medications are inaccessible to children. LPAs observed ant bait in an unlocked kitchen drawer. This item was immediately removed and stored in a locked area. Director understands if any is brought into the facility it must be stored under lock and key. Furniture and equipment are sufficient, age appropriate and in good repair. LPAs observed cobwebs on the outdoor play equipment and holes in the rubber cushioning of the outdoor play area. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination, and storage containers for solid waste are covered. Drinking water is available both indoors and outside. LPAs observed dead insects underneath a closed, unlocked sink where children wash their hands and use a water fountain. Licensee stated that the facility gets pest control treatment but was unable to provide the most current receipt. Staff subject to a criminal record clearance or exemption are associated to the facility. No excluded individuals are present. Teacher-child ratios are maintained and adequate supervision is being provided during this visit. First Aid/CPR certifications were reviewed and are in compliance with regulations. Sign in/sign out sheets are maintained. The facility is in compliance with the conditions, limitations and capacity specified on the license. A sample of children’s files were reviewed and emergency information forms and medical assessment forms were noted. Staff files were reviewed and health screening forms are on file. Menus are posted.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When 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:

CONTINUED ON 809-C
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3
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: BEAR COUNTRY PRE-SCHOOL & DAY CARE
FACILITY NUMBER: 240404967
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/27/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2019
Section Cited

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Buildings and grounds. The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement was not met as evidenced by: LPA observation of sand beetles, ants and cobwebs in the outside play area. LPA also observed dead insects underneath a closed, unlocked sink where
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children consume drinking water and wash their hands. These items pose a potential risk to the health, safety, or personal rights of children in care.
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Type B
09/06/2019
Section Cited

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Buildings and grounds. Storage areas for poisons shall be locked. This requirement was not met as evidenced by: LPA observation of Ant Bait traps in an unlocked door located in the kitchen. The door to the kitchen was locked and off-limits to children in care. This item poses a potential risk to the health,
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safety, or personal rights of 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: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 08/27/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/27/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3
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: BEAR COUNTRY PRE-SCHOOL & DAY CARE
FACILITY NUMBER: 240404967
VISIT DATE: 08/27/2019
NARRATIVE
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Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

An exit interview was conducted with Director, Regina Wolf. LPAs provided Director with information regarding providing incidental medical services to children, the CDSS Provider Information Notices (PINs) communication system, and some important resources and information links offered on the CDSS website. Lead safety information was provided in accordance with AB 2370, Chapter 676, Statues of 2018.

Hours of operation are Monday through Friday, 6:30am – 6:30pm.

The following deficiences is cited per Title 22 Div. 12 of the CCR: (see the attached LIC809-D). Copy of appeal Rights left with center representative/licensee.

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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3