500303119-9-10-2019-04-CC-CBRN-BFVPNG-20190910112754

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 500303119
Report Date: 09/10/2019
Date Signed: 09/10/2019 11:28:01 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:	CENTENARY CHRISTIAN PRESCHOOL		FACILITY NUMBER:	500303119
ADMINISTRATOR:	CATALINE, VANESSA		FACILITY TYPE:	850
ADDRESS:	1911 TOYON AVENUE		TELEPHONE:	(209) 522-7091
CITY:	MODESTO	STATE: CA	ZIP CODE:	95350
CAPACITY:	40	CENSUS: 23	DATE:	09/10/2019
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Vanessa Cataline		TIME COMPLETED:	12:00 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) Brannon met with Director, Vanessa Cataline. Licensee is Centenary Methodist Church. During today's visit, LPA toured the classrooms and play yards. This facility has a toddler option associated to the preschool license. There is a play yard waiver in place. LPA and Director Ms. Cataline reviewed classroom #6, that can be potentially utilized during rainy and hot weather. At this time, this classroom is not licensed. There are several items that will need to be addressed before classroom can be utilized by the preschool children. 1) There is a fire place in the classroom. Licensee shall make the fire place inaccessible to the day care children. The fire place has brick surrounding the fire place sides and hearth. This can be a potential risk to children for the intended use of this space. Children can be playing, trip and fall on the brick, thereby causing an injury. 2) Classroom #6 does not have a source of drinking water. Licensee can utilize an igloo with a disposable cup dispenser and disposable cups. 3) Licensee shall cover the electrical outlets. 4) Licensee shall ensure that the storage units are locked when day care children are in the room. 5) Licensee shall ensure that the kitchen shall is made inaccessible to day care children. 6) Licensee will ensure that the children have a schedule when utilizing classroom #6. 7) Licensee shall provide a bathroom procedure. Classroom #6 is far from the licensed preschool bathrooms. If this room was to be licensed, then a written statement on how staff will take children to the restroom and remain within ratio. 8) Licensee is aware that classroom #6 is only to be used as climate dictates during rainy and hot weather. 9) There are floor heating vents. Licensee shall provide a written statement on how the room will be comfortable and children will not be burned by the floor heating vents. 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: 09/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019

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: CENTENARY CHRISTIAN PRESCHOOL	FACILITY NUMBER: 500303119
	VISIT DATE: 09/10/2019

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10) Licensee shall provide a method of keeping the window blind chords inaccessible to children.
11) A fire clearance will be required if licensee wishes to utilize room #6.
12) An updated application will be required if licensee wishes to utilize room #6.
13) Updated facility sketches will be required if licensee wishes to utilize room #6.

Licensee will provide the above documentation if classroom #6 will be utilize as a play space as weather dictates. At this time, this space is not to be used by day care children.

During today's visit, LPA observed that licensee has adequate cushioning, but is not in place in fall zones. LPA is recommending that licensee rakes cushioning into the fall zones and does this as part of staff routine to ensure cushioning is in place as needed.

During today's visit, LPA observed that licensee has utilized pool noodles and blue duck tape on the metal climbing structure. LPA observed that the blue duck tape is peeling, thereby exposing the foam underneath. Licensee is recommending that licensee make repairs to these areas to ensure no foam is showing. This is for disinfection and sanitary reasons.

Per California Code of Regulations Title 22, Division 12, no deficiency to be cited. Exit interview conducted with Director, Vanessa Cataline. A copy of this report need to be placed in facility file for public review. A Notice of Site Visit was posted on parent board.

The following documents should be posted at the facility:
Ø PUB 269 – child passenger restraint systems poster
Ø PUB 393 – Notification of Parents Rights
Ø License
Ø Menus
Ø LIC 613A – Personal Rights form
Ø LIC 610 – Disaster Plan
Ø LIC 9148 – Earthquake Preparedness Checklist

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
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: 09/10/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2019

LIC809 (FAS) - (06/04)

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