243808432-1-28-2020-04-CC-CBRN-BL9SFC-20200128125007

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243808432
Report Date: 01/28/2020
Date Signed: 01/28/2020 12:50:16 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:	MCCAA-LOS BANOS CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	243808432
ADMINISTRATOR:	MCBRIDE, AMY		FACILITY TYPE:	850
ADDRESS:	1624 SAN LUIS STREET		TELEPHONE:	(209) 826-1011
CITY:	LOS BANOS	STATE: CA	ZIP CODE:	93635
CAPACITY:	96	CENSUS: 72	DATE:	01/28/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Amy McBride		TIME COMPLETED:	01:30 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 Analyst (LPA) Brannon, who met with Site Supervisor, Amy McBride. The licensee, Merced County Community Action Agency, is requesting to increase their preschool capacity from 96 to 120. This program will operate year round, daily from 7:00 am to 5:00 pm, from Monday through Friday. Breakfast, lunch and PM snack will be provided and prepared off site. There is a sink with hot water inside kitchen to use for food preparation. Ill children and staff will utilize the bathroom located in the outside corridor. Ill children will be isolated in the site supervisor's office. Room measurements taken and reviewed with Amy McBride. There are five classrooms that will be used by preschool children. The total preschool square footage is 4444 which will accommodate the requested capacity of 120 preschool children. Adequate storage space available for children's belongings. Outdoor storage is available for toys and equipment. Toys and equipment are age appropriate. Outdoor measurements taken on this date total 11016 square feet which will accommodate the requested capacity of 120 preschool children. Adequate shade is available in the outdoor activity area. Licensee installed cushioning around the metal poles. The applicant is using rubber pour form for cushioning under the outdoor climbing structure. CONTINUE ON THE FOLLOWING PAGE

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

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: MCCAA-LOS BANOS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 243808432
	VISIT DATE: 01/28/2020

NARRATIVE

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There are 10 toilets and 10 sinks/hand washing fixtures in the children's bathrooms which will accommodate the requested capacity of 120 preschool children. Each classroom has a water dispenser with disposable cups. Licensee is utilizing an Igloo with disposable cups for the outdoor drinking water.

The fire clearance has been received and approved for 120 preschool children.

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

The following items must be completed prior to issuing a license by:

1. Credenzas and furniture in the classrooms are to be anchored to prevent furniture from tipping over.
2. In room #2, the play kitchen is missing a handle.
3. The toilet floor screws are showing and has rust. The caps are missing.
4. In room #2, there is a water fountain that sprays past the sink and onto the floor.
5. The bathroom sink in room #3 is not working.
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: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

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: MCCAA-LOS BANOS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 243808432
	VISIT DATE: 01/28/2020

NARRATIVE

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6. A cup dispenser is needed in room #2 and room #4, to meet the requirement of providing non-contaminated drinking water for children.
7. In room #4, the office for the teacher is not inaccessible to children.
8. The igloo for outside drinking water requires a cup dispenser.
9. Room #5 did not have the cubbies placed in the room.
10. For room #5, the children will be exiting into the back fenced area and enter the outside play area. The back fenced area behind room #5 needs to be cleaned and have no debris.
11. There is uneven ground in the far grass area that is a tripping hazard.
12. The outside play structure does not have the age range that is appropriate for the structure.

During today's visit, LPA observed that the outside play structure has wear and tear that needs to be addressed. During today's visit, site supervisor called Miracle Play Systems. The company is aware of the wear and tear. The company will be returning to provide options for licensee for the wear and tear areas.

Pending a final file review and completion of above items, a recommendation will be made to increase capacity from 96 to 120 preschool capacity.

To order forms, etc. visit our website at www.ccld

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia Brannon	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2020

LIC809 (FAS) - (06/04)

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