243808647-5-5-2020-04-CC-CBRN-BPBMSU-20200505095231

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243808647
Report Date: 05/05/2020
Date Signed: 05/05/2020 09:52:38 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:	DEBORAH CLIPPER LIVINGSTON CHILD DEVELOPMENT CTR.		FACILITY NUMBER:	243808647
ADMINISTRATOR:	CHAVEZ, ROSARIO		FACILITY TYPE:	830
ADDRESS:	1001 F STREET		TELEPHONE:	(209) 581-9000
CITY:	LIVINGSTON	STATE: CA	ZIP CODE:	95334
CAPACITY:	20	CENSUS: 0	DATE:	05/05/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	07:45 AM
MET WITH:	Concha Alvarez		TIME COMPLETED:	10:30 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	A prelicensing inspection visit was conducted on this date by Licensing Program Analyst (LPA) Brannon, who met with Executive Director, Concha Alvarez. Licensee is CCCDS Inc. Licensee is requesting a change in capacity for the infant program. Licensee is decreasing their capacity from 20 to 9 infants. Licensee decreased the infant room square footage. This program will operate seasonally, from April to November. Breakfast, lunch and an afternoon snack will be provided and prepared off-site by the Atwater Center. There is a sink with hot water inside kitchen to use for food preparation. Ill infants will be isolated in the office. Room measurements taken and reviewed with Concha Alvarez. There is one classroom that will be used for infant program. The total infant square footage is 345 which will accommodate the requested capacity of 9 infants. Crib area is available and can accommodate up to 4 cribs. Refrigerator is available for infant formula, bottles and infant food. There are two changing tables with cushioning with 3" sides that are within arm’s length from sink. This sink is not to be used for food preparation. Per Executive Director, the infant program does not provide potty training. There is a child's restroom with 2 toilets and 1 sinks/hand washing fixtures in the children's bathroom that is not being utilized with the infant program. This room is inaccessible to infants. Adequate storage space available for infant's belongings. Outdoor storage is available for toys and equipment. Toys and equipment are age appropriate. Outdoor measurements taken on previous pre-licensing visit on 1/19/11, reflecting total 6758 square feet which will accommodate the requested capacity of 9 infants. Adequate shade is available in the outdoor activity area. The licensee has a permanent shade structure and mature trees. The applicant is using pour-in-place rubber for cushioning under the outdoor climbing structure. Licensee has a locked shed for storage that is on the infant play yard. There is a drinking water fountain for inside drinking water. There is an outside drinking water fountain for outside drinking water. 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: 05/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2020

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: DEBORAH CLIPPER LIVINGSTON CHILD DEVELOPMENT CTR.	FACILITY NUMBER: 243808647
	VISIT DATE: 05/05/2020

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The fire clearance has been received and approved for 57 children. The fire clearance approved for 9 infants and 48 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

Due to the COVID-19 pandemic crisis, the following was discussed:

Social and physical distancing, teacher to child ratio; practice healthy hygiene; drop off and pick up guidelines; installing hand sanitizers out of reach of children and a copy of PIN 20-06-CCP was provided to licensee. CCCDS, Inc is aware that the COVID-19 pandemic is a challenging and fluid situation. Federal, state and local orders and guidelines may change. Licensee should adhere to the local public health department’s orders and guidelines for providing a healthy and safe childcare environment.

The following items must be completed prior to issuing a license by 5/19/20. Licensee shall provide photographs of corrections:
1. Age appropriate sticker is missing from the infant play structure.
2. Facility will be re-opening tomorrow. Licensee does not have baby food in their pantry.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 9 infants.

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)
* Lead Poisoning brochure
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: 05/05/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2020

LIC809 (FAS) - (06/04)

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