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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
500311278
Report Date:
05/03/2023
Date Signed:
05/03/2023 04:23:32 PM
Document Has Been Signed on
05/03/2023 04:23 PM
- It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
ADMINISTRATOR:
COEHLO, STACI
FACILITY TYPE:
850
ADDRESS:
1250 COOPER AVENUE, SUITE 3
TELEPHONE:
(209) 634-8578
CITY:
TURLOCK
STATE:
CA
ZIP CODE:
95380
CAPACITY:
75
CENSUS:
55
DATE:
05/03/2023
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
11:30 AM
MET WITH:
Staci Coehlo - Director
TIME COMPLETED:
04:45 PM
NARRATIVE
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On
5/3/23 Licensing Program Analysts (LPAs) Joseph Pacheco and Araceli Gibson, conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Director, Staci Coelho
,
and toured the facility indoors and outdoors.
This facility operates on a traditional school year schedule.
Days and hours of operation are Monday – Friday, 7:00am – 5:00pm. Director verified facility phone number is (209) 667-5512.
There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. No poisons were observed during the inspection.
Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. LPAs observed a broken sprinkler pipe in the outdoor activity area used by Classroom A that is causing a muddy puddle in the grass area and a broken sink in one of the bathrooms. LPA did observe toilets with exposed rusted bolts. Handwashing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. LPA observed solid waste in a trash can that did not have a tight fitting lid. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Menus are posted at least one week in advance where an authorized representative can view them.
Capacity and limitations as specified on the license are being maintained. LPAs did not observe any staff who have a current pediatric CPR card from an approved vendor. The name of the child care center (CCC) director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department.
The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. All children are under supervision, including visual supervision, of a teacher at all times.
CONTINUED ON LIC809-C
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
(FAS) - (06/04)
Page:
1
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Document Has Been Signed on
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- It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/03/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)(1)
Criminal Record Clearance
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department or
This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on record review. During today's inspection LPA Pacheco observed Staff #1 providing care and supervision to children. Staff #1 identified themselves as a teacher. LPA reviewed Guardian and Licensing Information Systems and did not see a fingerprint clearance on file for Staff #1. Director was unable to provide documentation that Staff #1 has been fingerprint cleared which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date:
05/04/2023
Plan of Correction
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Director said she would have Staff #1 go and get fingerprint cleared and submit proof to Communtiy Care Licensing by 5/4/23. Director understands that Staff #1 can not work until they are fingerprint cleared.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
LIC809
(FAS) - (06/04)
Page:
2
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Document Has Been Signed on
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- It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/03/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review. According to documentation provided by Director, a fire drill was last conducted on 8/31/22. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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Director stated facility will conduct a fire drill and provide documentation to Community Care Licensing by 6/2/23.
Type B
Section Cited
CCR
101239.2(a)(1)
Drinking Water
(a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area. (1) Children shall be free to drink as they wish.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation. LPA did not observe a water dispenser in any of the four classrooms. Director stated that staff have to take children's water bottles for children who attend Classrooms A, B & C to be filled out of the faucet in the kitchenette adjacent to Classroom C. Staff in Classroom D have to take children to the water fountain located in the hall way outside of the room to fill their water bottles. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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Director stated she would purchase water containers for all of the classrooms so that children can freely drink water as they wish or have staff assist them in filling their water bottles without having to leave their respective classrooms. Director to provide proof of purchase to Community Care Licensing by 6/2/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
LIC809
(FAS) - (06/04)
Page:
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Document Has Been Signed on
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- It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/03/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation. LPA Pacheco observed exposed rusted toilet bolts, a broken sink in the bathroom used by children in Classroom D and a broken sprinkler pipe causing a muddy puddle in the outdoor play area used by Classroom A. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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Director said she would have all of the above items repaired and provide proof to Community Care Licensing by 6/2/23.
Type B
Section Cited
CCR
101239(f)(1)
Fixtures, Furniture, Equipment and Supplies
(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation. In Classroom A, LPA observed an apple that had been eaten and discarded into a trash can with no tight fitting lid that was accessible to children in care. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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Director stated she will purchase trash cans with tight fitting lids and provide proof to Community Care Licensing by 6/2/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
LIC809
(FAS) - (06/04)
Page:
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Document Has Been Signed on
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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
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/03/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation. LPA observed two staff files that did not contain documentation of required immunizations against measles, pertussis and influenza or flu declination statement which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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Director stated she will have the two staff obtain documentation of required immunizations and provide copies to Community Care Licensing by 6/2/23.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation. LPAs did not observe any staff files that contained documentation of a current AB 1207 Mandated Reporter certificare which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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Director stated she and all of the staff will complete the required AB 1207 Mandated Reporter training and provide copies of the certificates to Community Care Licensing by 6/2/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
LIC809
(FAS) - (06/04)
Page:
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Document Has Been Signed on
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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
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/03/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation. During file review, LPAs did not observe a current pediatric CPR card from either the American Red Cross, American Heart Association or EMSA vendor which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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Director stated that she and her staff will enroll in a pediatric CPR course from an approved vendor and provide proof of enrollment to Community Care Licensing by 6/2/23.
Type B
Section Cited
CCR
101216.1(c)(1)
Teacher Qualifications and Duties
(c) To be a fully qualified teacher, a teacher shall have one of the following: (1) Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation. During file review, LPAs did not observe documentation of required units for Staff #1. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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4
Director stated she would have Staff #1 obtain their transcripts showing their qualifications as a teacher and provide copies to Community Care Licensing by 6/2/23. Director understands that if Staff #1 does not have the required educational units then they can not be employed as a teacher.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
LIC809
(FAS) - (06/04)
Page:
6
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Document Has Been Signed on
05/03/2023 04:23 PM
- It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
05/03/2023
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)(6)
Personnel Records. (a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (6) Documentation of the educational background, training and/or experience specified in this chapter.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA observation. During a review of Director’s file, LPAs did not observe documentation of required educational background. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/02/2023
Plan of Correction
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2
3
4
Director stated she will obtain copies of her education transcripts showing she has the required educational background and provide copies to Community Care Licensing by 6/2/23.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
LIC809
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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
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
VISIT DATE:
05/03/2023
NARRATIVE
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Facility maintains a ratio of one teacher supervising no more than 12 children in care. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment.
LPA reviewed a sample of staff files and observed files were complete with health screening. LPAs observed multiple staff files that did not have documentation of required immunizations against measles, pertussis and influenza. All staff files reviewed did not contain documentation of a current AB 1207 Mandated Reporter certification. LPAs observed one staff who is not fingerprint cleared according to Guardian and Licensing Information Systems. Director was unable to provide evidence that Staff #1 has been fingerprint cleared as required.
Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding
Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link
https://www.ada.gov/childqanda.htm
.
LPA and Licensee discussed the Community Care Licensing website
www.ccld.ca.gov
which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.
To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to
inspectionprocess@dss.ca.gov
. For additional information regarding the inspection and its tools and methods, please visit the Program Website at
www.cdss.ca.gov/inforesources/community-care-licensing/process
.
Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D).
Director was provided a copy of their appeal rights.
CONTINUED ON LIC809-C
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
LIC809
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10
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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
FRESNO-CC
,
1310 E. SHAW AVE,
FRESNO
,
CA
93710
FACILITY NAME:
SACRED HEART PRESCHOOL
FACILITY NUMBER:
500311278
VISIT DATE:
05/03/2023
NARRATIVE
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LPA Joseph Pacheco informed Director, Staci Coelho that this report dated 5/3/23 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.
Also, LPA Joseph Pacheco informed the Director to provide a copy of this licensing report dated 5/3/23 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.
Exit interview conducted and report was reviewed with Director, Staci Coelho.
A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME:
Juvenal Moctezuma
TELEPHONE:
(559) 650-7869
LICENSING EVALUATOR NAME:
Joseph Pacheco
TELEPHONE:
(559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE:
05/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/03/2023
LIC809
(FAS) - (06/04)
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11
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