243808924-10-4-2019-04-CC-CBRN-BGMSVE-20191004141236

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243808924
Report Date: 10/04/2019
Date Signed: 10/04/2019 02:12:46 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:	DANIELSON HEAD START		FACILITY NUMBER:	243808924
ADMINISTRATOR:	LAWRENCE, RENEE		FACILITY TYPE:	850
ADDRESS:	1235 N ST		TELEPHONE:	(209) 381-5170
CITY:	MERCED	STATE: CA	ZIP CODE:	95341
CAPACITY:	20	CENSUS: 0	DATE:	10/04/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Monica Garza		TIME COMPLETED:	02:45 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 Assistant Director, Monica Garza. The center is located at Danielson Campus. This program will operate traditional school-year, daily from 8:00 AM to 5:00 PM. Breakfast, lunch, and snacks will be provided and prepared at the licensee's central kitchen off site. At this time, there may be changes made to two of the classrooms to acquire more square footage to increase preschool capacity. Ill children and staff will utilize the bathroom located in the classrooms. Ill children will be isolated in staff office. Room measurements taken and reviewed with Assistant Director, Monica Garza. There are three classrooms that will be used by preschool children. At this time, the total preschool square footage is 1619 which will accommodate 47 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 12924 square feet which will accommodate capacity of 47 preschool children. Adequate shade is available in the outdoor activity area in the shared play yard. Licensee will utilize this space until their play yard has permanent shade and remodeled. 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: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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: DANIELSON HEAD START	FACILITY NUMBER: 243808924
	VISIT DATE: 10/04/2019

NARRATIVE

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The applicant is using wood chips for cushioning under the outdoor climbing structure that is locate in the shared space.
There are a total of 7 toilets and 5 sinks/hand washing fixtures in the children's bathrooms between the three classrooms, which will accommodate 47 preschool children.
Licensee is utilizing igloos for inside and outside drinking water.

The fire clearance has been received and approved for 60 children. However, the inside square footage does not meet that capacity.

Licensee has Incidental Medical Services (IMS) in place.

The following items must be completed prior to issuing a license by:
Classroom A
1. Classroom A has a kitchen that may be removed. If not, then a gate and fencing shall be installed to keep children from accessing the kitchen,
2. Ceiling panels in the children's bathroom need to be installed.
3. Igloo used for drinking water is required to have a cup dispenser.
4. Torn wall paper needs to be repaired.
Classroom B
5. Licensee shall install a larger hand washing sink in the children's bathroom with 2 faucets. This is to ensure that the children only use the sink in the bathroom for restroom usage and to prevent the spreading of e. coli bacteria.
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: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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: DANIELSON HEAD START	FACILITY NUMBER: 243808924
	VISIT DATE: 10/04/2019

NARRATIVE

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Due to possible changes that may affect the capacity. LPA will return in three weeks to re-measure classrooms.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 47 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: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

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: DANIELSON HEAD START	FACILITY NUMBER: 243808924
	VISIT DATE: 10/04/2019

NARRATIVE

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6. Licensee shall install a gate and fencing to prevent children's access to the kitchen.
7. Igloo used for drinking water is required to have a cup dispenser to meet the requirement of uncontaminated drinking water.
Classroom 3
8. There are 5 heating floor grates that need to be made inaccessible to preschool children.
9. Igloo used for drinking water is required to have a cup dispenser.
Outside play yard
9. A waiver request to share the play yard with another program, with a copy of schedule from both programs.
10. An update outside facility sketch to include the other program's play yard.
11. Licensee shall fill in the dip in the grass area to prevent children from falling/tripping.
12. The fencing is chain link. Exposed cement is showing where a pole is anchored.
13. There is a yellow tunnel that has a part broken off. Licensee shall have this equipment removed.
14. Licensee shall trim the tree hanging over the shade structure.
15. Licensee shall replace broken wood panel at the bottom of the chain link fence.
16, Fire clearance granted for the updated capacity.

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: 10/04/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/04/2019

LIC809 (FAS) - (06/04)

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