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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500319400
Report Date: 07/14/2023
Date Signed: 07/14/2023 01:18:28 PM


Document Has Been Signed on 07/14/2023 01:18 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:WATERFORD CHILD DEVELOPMENT CENTERFACILITY NUMBER:
500319400
ADMINISTRATOR:CALLAHAN, DIANEFACILITY TYPE:
850
ADDRESS:219 N REINWAY AVETELEPHONE:
(209) 874-3301
CITY:WATERFORDSTATE: CAZIP CODE:
95386
CAPACITY:78CENSUS: 0DATE:
07/14/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Diane Callahan - DirectorTIME COMPLETED:
01:30 PM
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On 7/14/23, Licensing Program Analyst (LPA) Joseph Pacheco conducted an announced Case Management inspection and met with Director, Diane Callahan. LPA explained the reason for the inspection and a tour of the center was conducted both inside and outside. The licensee is requesting a decrease in capacity from 78 preschool children to 48 preschool children and will now operate in Classrooms 1, 2 and 5. This program currently operates on a traditional school year schedule from 8:00am, - 2:30pm Monday - Friday except Wednesdays until 12:00pm. Director stated that the program offers breakfast and lunch. The meals are prepared off-site at Richard Moon Elementary school and delivered daily. Ill children will be isolated in the staff offices located in each classroom building but is physically separate from the classrooms and use the bathroom in the administrative office. Cleaning supplies are kept in locked cabinets which are inaccessible to children.
The three preschool classrooms were observed to be clean and free of toxins. LPA observed that the furniture and equipment in those three classrooms appeared to be safe and in good condition. LPA observed that the center has a working carbon monoxide detector installed. LPA observed that there are plenty of tables and chairs, and sleeping mats. LPA observed plenty of age appropriate items & toys.
Room measurements in all three classrooms were taken and reviewed with Director. The total inside infant area of all three classrooms measured to an approximate 2,269 square feet which will accommodate the requested capacity. There is adequate storage space available for children's belongings. There are a total of 5 toilets and 7 sinks/hand washing fixtures which will accommodate the requested capacity. Facility uses filtered water in sinks from each classroom and staff assist children by dispensing it in to paper cups. The outside square footage was not measured because this is a capacity decrease. Staff will fill an igloo jug with water to provide to children while outdoors. Outside toys and equipment are age appropriate. The outdoor play structure includes a shade component. Additional shade is provided by a covered patio. High climbing play equipment with adequate cushioning was observed.
LPA reminded Director to make sure they maintain visual supervision of children at all times. A fire clearance for 48 preschool children was received and granted by the Stanislaus County Fire Department on 6/27/23.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


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: WATERFORD CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 500319400
VISIT DATE: 07/14/2023
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Pending a final file review, a recommendation will be made to license the above facility for a capacity of 48 preschool children.

The following documents are to be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Director, Diane Callahan

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2