274404902-11-22-2019-07-CC-MBED-BJ6UZL-20191122150145

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274404902
Report Date: 11/22/2019
Date Signed: 11/22/2019 03:01:50 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	CESAR E. CHAVEZ PRESCHOOL		FACILITY NUMBER:	274404902
ADMINISTRATOR:	GABRIEL RAMIREZ		FACILITY TYPE:	850
ADDRESS:	1225 TOWT STREET		TELEPHONE:	(831) 753-5589
CITY:	SALINAS	STATE: CA	ZIP CODE:	93905
CAPACITY:	24	CENSUS: 8	DATE:	11/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Lucero Carvajal		TIME COMPLETED:	03:20 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	Licensing Program Analyst (LPA), Behbood, conducted an unannounced random visit to the Facility today. LPA met with Mayra Ramirez, Teacher. Purpose of the visit explained. LPA toured both inside and outside of the facility during today's visit. The children and staff files are not kept on site, the Head Teacher placed a call to the District office requesting records be made available. Files were delivered to the site by Lucero Carvajal, Clerk. Lucero stated Yolanda Macintosh is in charge of the migrant program and Dr. Susan Ratlif is in charge of the district part of the program, Neither one of the above individuals were available during today's visit to clarify who is the site director. Analyst will clarify with one of the individuals name above after the break. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menus (includes current and following week), and Activity Schedule. All staff have clearances through the Alisal Union Elementary School District. No bodies of water observed. LPA reviewed samples of children's file and sign in and out sheets during today's visit. Each child's file reviewed contains the Information and Emergency Information form (LIC 700) and a copy of the admission agreement. LPA observed that all children were properly signed in and out (legal signature & time of day) by a parent or authorized representative. At least one staff has current CPR and First Aid that expires in May of 2021. Staff files have copies of their educational background, immunization records and Child Abuse Reporter Training certificate. Furniture & equipment appear in good condition. Floors appear clean. Children's bathrooms are in operating condition. Operation hours is M-F from 8:15 to 11:15 and 12:30 to 3:30. Facility follow school district schedule.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash Behbood	TELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: CESAR E. CHAVEZ PRESCHOOL	FACILITY NUMBER: 274404902
	VISIT DATE: 11/22/2019

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
26
27
28
29
30
31
32

Facility provides lunch from cafeteria for both AM and PM sessions. Per Mayra, though this center will accept children with IMS need but none of the children of this school year are on IMS medication.
Playground has climbing structures, Wood chips are used for cushioning material. Canopy is used to provide shade.
Drinking water inside the classrooms and in the playground are provided via water fountains.
No citation issued during today's visit.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash Behbood	TELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:	DATE: 11/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2