500311278-7-30-2019-04-CC-LGAN-BEKQDP-20190730120503

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 500311278
Report Date: 07/30/2019
Date Signed: 07/30/2019 12:05:09 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:	SACRED HEART PRESCHOOL		FACILITY NUMBER:	500311278
ADMINISTRATOR:	CANNELLA, DEBRA		FACILITY TYPE:	850
ADDRESS:	1250 COOPER AVENUE, SUITE 3		TELEPHONE:	(209) 634-8578
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95380
CAPACITY:	75	CENSUS: 25	DATE:	07/30/2019
TYPE OF VISIT:	POC	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Director - Debra Cannella		TIME COMPLETED:	12:20 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	On this date, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced Plan of Correction (POC) inspection. LPA met with Director Debra Cannella and Assistant Director Staci Coelho, toured the facility, and took a census. The purpose of today's inspection was to clear the deficiencies that were cited during the annual/random inspection conducted on June 13, 2019. During the annual/random inspection, the facility was cited three type B citations in violation of California Code of Regulations (CCR) 101229(a)(1) - Responsibility for Providing Care and Supervision, CCR 101238(g) - Buildings and Grounds, and Health and Safety Code (HSC) 1596.7995(a)(1) - Employees or Volunteers at Day Care Center; Immunization Requirements; Records; Exemptions. On June 13, 2019, LPA cited CCR 101238(g) because LPA had observed the supply closet in Classroom C was unlocked and contained various cleaning supplies and other hazardous items. Licensee had locked the door on the date of the inspection and had posted a sign which instructed to keep door locked at all times. Licensee also addressed the issue during a mandatory staff meeting on June 18, 2019. During today's POC inspection, LPA observed the door to the supply closet was still locked and sign was still posted on the door. The deficiency has been cleared. On June 18, 2019, Licensee conducted a mandatory staff meeting to discuss the responsibility of providing care and supervision to children at all times. Licensee submitted the agenda of the meeting to Community Care Licensing (CCL) and also submitted the signatures of all staff in attendance. The deficiency has been cleared. (Continued on next page, LIC809-C)

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa Gavoutian	TELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2019

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: SACRED HEART PRESCHOOL	FACILITY NUMBER: 500311278
	VISIT DATE: 07/30/2019

NARRATIVE

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On July 9, 2019, Licensee requested an extension to July 26, 2019 to clear deficiency cited for staff immunizations. On July 25, 2019, Licensee submitted all required immunization records for staff. Today, LPA verified the immunziations were received and documented. The deficiency was cleared today.

No deficiency was cited in the areas observed today. Exit interview conducted with Director Debra Cannella.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

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

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa Gavoutian	TELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2019

LIC809 (FAS) - (06/04)

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