243801977-5-16-2019-04-CC-JPAO-BC8K3L-20190516073252

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243801977
Report Date: 05/15/2019
Date Signed: 05/16/2019 07:33:03 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:	FRANK SPARKES PRESCHOOL		FACILITY NUMBER:	243801977
ADMINISTRATOR:	VANG, KA		FACILITY TYPE:	850
ADDRESS:	7265 W. ALMOND AVENUE		TELEPHONE:	(209) 357-6180
CITY:	WINTON	STATE: CA	ZIP CODE:	95388
CAPACITY:	24	CENSUS: 21	DATE:	05/15/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Ka Vang - Principal		TIME COMPLETED:	01:00 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	(1) Licensing Program Analysts (LPAs), Joseph Pacheco and Cynthia Brannon, conducted an annual/random inspection today. LPAs met with Principal Ka Vang, toured the facility inside and outside, and census was taken. Staff were spoken to during today’s visit. The following areas are in compliance during this visit: There are no bodies of water at this facility. Firearms and ammunition are not permitted on the premises. Disinfectants, hazardous items and medications are inaccessible to children. LPAs did not observe any poison on site today. Storage area for poisons is locked. Ms. Vang, 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. Children use an outdoor play structure which has a small tunnel. Children in tunnel are supervised by staff positioned adjacent to it at all times. The playground equipment and outdoor activity space is maintained and in good condition with adequate cushioning material. LPAs observed holes along the bike path in the outdoor play area. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Children eat food prepared at an on-site cafeteria and served in the classroom. Drinking water is available both indoors and outside. Measures are taken to keep facility free of insects and rodents. 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. 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. This facility provides Incidental Medical Services – IMS. LPAs 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. CONTINUED ON 809-C

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph Pacheco	TELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019

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: FRANK SPARKES PRESCHOOL	FACILITY NUMBER: 243801977
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/15/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/29/2019 Section Cited CCR 101216(f)	1 2 3 4 5 6 7	Personnel Requirements. At least one staff member who is trained in pediatric CPR and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. This requirement was not met as evidenced by LPA observation of no current First Aid/CPR from a EMSA Certified	1 2 3 4 5 6 7	LIcensee to provide proof of paid enrollment to EMSA Pediatric CPR and First Aid classes for qualifying certification by 5/29/19.
	8 9 10 11 12 13 14	vendor. This poses a potential risk to the health, safety, or personal rights of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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 deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph Pacheco	TELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019

LIC809 (FAS) - (06/04)

Page: 2 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: FRANK SPARKES PRESCHOOL	FACILITY NUMBER: 243801977
	VISIT DATE: 05/15/2019

NARRATIVE

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LPAs provided licensee 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.

Hours of operation are Monday through Friday. AM session is 8:00 – 11:00. PM session is 12:00 – 3:00. School is open in conjunction with the traditional school year.

An exit interview was conducted with Principal Vang. A copy of this report must remain in the facility for public review.

The following is cited per Title 22 Div. 12 of the CCR: (see the attached 809-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 deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph Pacheco	TELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2019

LIC809 (FAS) - (06/04)

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