243808245-2-18-2020-04-CC-CBRN-BLWR4Z-20200218114223

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243808245
Report Date: 02/18/2020
Date Signed: 02/18/2020 11:42:33 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:	SCHELBY HEAD START/MERCED CO. OFFICE OF EDUCATION		FACILITY NUMBER:	243808245
ADMINISTRATOR:	AGUILAR, TERESA		FACILITY TYPE:	850
ADDRESS:	6738 NORTH SULTANA DRIVE		TELEPHONE:	(209) 394-1821
CITY:	LIVINGSTON	STATE: CA	ZIP CODE:	95334
CAPACITY:	40	CENSUS: 0	DATE:	02/18/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	07:30 AM
MET WITH:	Monica Garza		TIME COMPLETED:	12:15 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	A prelicensing inspection visit was conducted on this date by Licensing Program Analysts (LPAs) Brannon, Mejia and Badhesha who met with Monica Garza, Assistant Director of Head Start. The center is located at Schelby Campus. The licensee is requesting the following capacity of 15 preschool children. This program will operate traditional school-year, daily from 8:00 am to 3:00 pm. Breakfast, lunch, and afternoon snack will be provided and prepared by the Schelby Campus kitchen that is at facility. There is not a sink with hot water inside the classroom to use for food preparation. Ill children and staff will utilize the bathroom located in the hallway. Ill children will be isolated in the break room. Room measurements taken and reviewed with Monica Garza. There is one classroom, E4, that will be used by preschool children. The total preschool square footage is 934 which will accommodate 15 preschool children. Adequate storage space available for children's belongings. Outdoor storage is available for toys and equipment. Applicant has two storage sheds for storage. Toys and equipment are age appropriate. CONTINUED ON FOLLOWING PAGE

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2020

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: SCHELBY HEAD START/MERCED CO. OFFICE OF EDUCATION	FACILITY NUMBER: 243808245
	VISIT DATE: 02/18/2020

NARRATIVE

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The play yard is located towards the front of campus. Per Monica Garza, when walking the children to the play yard, staff will utilize a walking rope with three staff to ensure that children arrive safely to the play yard. Outdoor measurements taken on this date total 5490 square feet which will accommodate 15 preschool children. Adequate shade is available in the outdoor activity area. Applicant is utilizing mature trees and a small shade structure over the climbing structure. The applicant is using rubber-pour-in-place for cushioning under the outdoor climbing structure. During today's visit, LPA observed areas in the chain link fencing looks damaged but does not appear to lessen the integrity of the fencing. LPA is recommending applicant to monitor these areas. LPA observed a 3" gap between the gate and fencing. Per applicant, supervision will be provided at all times. LPA observed a Little Tykes play structure on the play ground. Applicant will ensure that children will not climb up on top.

At this time, applicant has sole access to 1 toilet and 1 sink/hand washing fixtures in the children's bathrooms which will accommodate 15 preschool children. There is a drinking water fountain for the inside drinking water.

This facility plans to provide Incidental Medical Services – IMS. A 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: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

CONTINUED ON FOLLOWING PAGE

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2020

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: SCHELBY HEAD START/MERCED CO. OFFICE OF EDUCATION	FACILITY NUMBER: 243808245
	VISIT DATE: 02/18/2020

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The following items must be completed prior to issuing a license by 3/18/20. Applicant will send pictures of corrections:
1. There is a hole next to the fence and cement walk way.
2. Fence bolts need to be cut back to 3 or 4 threads.
3. The climbing structure does not have an age sticker.
4. For the outside play area, there is not a water fountain. LPA was informed that an igloo with disposable cup dispenser and disposable cups will be used.
5. Need updated fire clearance for 15 preschool children.
6. Need an outside play yard waiver request. Applicant will submit a waiver request and outside play schedules for both programs.
7) The children's bathroom has items that need to be cleared out.
8) The storage unit in the children's bathroom needs a lock installed.
9) The classroom sink needs to have the storage units for water and dirty water installed.
Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 15 preschool children.
The following documents should be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
To order forms, etc. visit our website at www.ccld.ca.gov.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 02/18/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2020

LIC809 (FAS) - (06/04)

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