500320998-8-9-2019-04-CC-CBRN-BEVSBR-20190809134423

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 500320998
Report Date: 08/09/2019
Date Signed: 08/09/2019 01:44:32 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:	CARROLL FOWLER PRESCHOOL PROGRAM		FACILITY NUMBER:	500320998
ADMINISTRATOR:	HERNANDEZ, DARLYN		FACILITY TYPE:	850
ADDRESS:	2611 GARRISON AVE		TELEPHONE:	(209) 556-1545
CITY:	CERES	STATE: CA	ZIP CODE:	95307
CAPACITY:	48	CENSUS: 0	DATE:	08/09/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Mary Gonzales		TIME COMPLETED:	02:15 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	A prelicensing inspection visit was conducted on this date by Licensing Program Analyst (LPA) Cynthia BrannoN, who met with Preschool Director, Mary Gonzales. The center is located at Carroll Fowler Elementary School. Licensee has two preschool classrooms. Previously, licensee had classroom 28 and 40 licensed. Due to construction, classroom 28 was removed. Licensee is requesting for classroom 41 to be licensed. Licensee is keeping the same capacity of 48 preschool children. This program will operate traditional school year, daily from 8:00 to 11:15 AM and 12:00 AM to 3:15 PM. Meals are provided from elementary school. Licensee provides breakfast for the morning session, and lunch for the afternoon session.There is a sink with hot water inside kitchen, classroom to use for food preparation. Ill children and staff will utilize the bathroom located around the corner. Ill children will be isolated in office, located in their classroom. Room measurements taken and reviewed with Mary Gonzales. There are two classrooms that will be used by preschool children. The total preschool square footage is 1685 which will accommodate 48 preschool children. 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: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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: CARROLL FOWLER PRESCHOOL PROGRAM	FACILITY NUMBER: 500320998
	VISIT DATE: 08/09/2019

NARRATIVE

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Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 48 preschool children.

The following documents should 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)

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: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

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: CARROLL FOWLER PRESCHOOL PROGRAM	FACILITY NUMBER: 500320998
	VISIT DATE: 08/09/2019

NARRATIVE

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Adequate storage space available for children's belongings. Outdoor storage is available for toys and equipment. Toys and equipment are age appropriate.
Outdoor measurements were previously taken on 7/12/18. Total 8720 square feet which will accommodate the requested capacity. Adequate shade is available in the outdoor activity area. Licensee is utilizing mature trees for shade. The applicant is using wood chip for cushioning under the outdoor climbing structure.

In classroom 40 there are two toilets and two sinks, classroom 41 there is one toilet and one sink, there are two bathrooms around the corner that have one toilet and one sink in each restroom.

Licensee is utilizing drinking water in pitchers/containers for inside and outside drinking water.

The fire clearance has been received and approved for 27 children. Licensee did not provide a total capacity for both classrooms. An updated fire clearance for 45 capacity will be sent out.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The following items must be completed prior to issuing a license before 8/13/19:

1. Anchor the kitchen refrigerator.
2. Anchor the dramatic play shelving unit.
3. Bathrooms around the corner needs to be cleaned, remove storage.
4. In one bathroom around the corner, bathroom C, needs ceiling panel replace.
5. The bathrooms around the corner needs to be labeled for preschool only.
6. Disposable cup dispensers in each classroom required.
7. Updated granted fire clearance reflecting capacity of 48 preschool children.

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: 08/09/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019

LIC809 (FAS) - (06/04)

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