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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500313180
Report Date: 09/27/2019
Date Signed: 09/27/2019 01:02:12 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:KEYES STATE PRESCHOOLFACILITY NUMBER:
500313180
ADMINISTRATOR:BRADSHAW, VICTORIAFACILITY TYPE:
850
ADDRESS:5680 7TH STREETTELEPHONE:
(209) 537-1504
CITY:KEYESSTATE: CAZIP CODE:
95328
CAPACITY:20CENSUS: 12DATE:
09/27/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Nicole VinsonTIME COMPLETED:
01:30 PM
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An unannounced annual/random visit #3 is made today. Met with Nicole Vinson, Acting Supervisor. There was 12 children present. A tour of facility was conducted inside and outside. The following areas are in compliance during visit: There are no bodies of water. Firearms and ammunition are not on the premises. Storage area for poisons is locked. Disinfectants and hazardous items are inaccessible to children. No medication is being given at this time. Furniture and equipment are sufficient, age appropriate and in good repair. Fire drills are conducted every month. The playground equipment and outdoor activity space is maintained and in good condition. Wood chips are being used as cushioning around the climbing equipment. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination, storage containers for solid waste are covered and all food or beverages are stored in covered containers at 45 degrees or less. Drinking water is available both indoors and outside. Menus are posted. The facility is in compliance with conditions and limitations specified on the license. Teacher/child ratios are maintained and adequate supervision is being provided during this visit. Sign in/sign out sheets maintained. Fingerprints were not reviewed as the school district fingerprints their staff as condition of employment. First Aid/CPR reviewed and in compliance. Four children's files were reviewed. Staff files were reviewed. Staff are current on immunization records and online Child Abuse Mandated Reporter training. The child care center days are hours of operation are: There are two sessions: 7:40 - 10:40 for the morning session and the afternoon session is from 11:30 AM - 2:30 PM.

No deficiencies were cited today. Site Visit Notice posted on the parent board.
Exit interview was conducted.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
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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