503602075-8-18-2022-04-CC-AGIN-CHEV4L-20220818160633

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503602075
Report Date: 08/18/2022
Date Signed: 08/18/2022 04:06:42 PM

Document Has Been Signed on 08/18/2022 04:06 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:	CCCDS TURLOCK CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	503602075
ADMINISTRATOR:	FELIX, CALLETANA		FACILITY TYPE:	830
ADDRESS:	400 NORTH KILROY RD		TELEPHONE:	(209) 669-6374
CITY:	TURLOCK	STATE: CA	ZIP CODE:	95380
CAPACITY:	36	CENSUS: 16	DATE:	08/18/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Sylvia Rangel		TIME COMPLETED:	04:20 PM

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On 08/18/22 Licensing Program Analyst (LPA), Araceli Gibson conducted an unannounced Annual Required Inspection for the infant license. LPA met with director, Sylvia Rangel Head Teacher, and Anna Moreno, Program Coordinator. LPA conducted an inspection in the infant classrooms. During today’s inspection there were 16 infants present. Child Development Center CCCDS Turlock Infant Center utilizes room 8, room 9 to care for infants. Hours of operation are from 6:45 AM to 3:15 PM Monday through Friday.

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. All poisons are kept in a locked storage area. No poisons were observed during the inspection.

Furniture and play equipment are in good condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing facilities are in safe and sanitary operating condition. LPA inspected Room 8 and found carpets be in need cleaning. LPA observed stains and crumbs on the floor photos were taken of the observation. LPA advised shoes should be changed out or covers can be worn for floors in the facility stay clean and safe. LPA issued a TYPE B citation (see 809D) Storage areas are clean, free of litter/rubbish and free of rodents/vermin. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. All materials and surfaces accessible to children are toxic free. The facility is free of flies, insects and rodents. There is a working carbon monoxide detector. Infants are provided formula and snacks at the Center. Infants are feed according to infants feeding schedules.

Staff are fingerprint cleared as a condition of employment main file reviewed under CCCDS Turlock Child Development Center. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. No individuals excluded by the Department are allowed to be present. Capacity and limitations as specified on the license are being maintained. Continued 809C

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Araceli Gibson	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

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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Document Has Been Signed on 08/18/2022 04:06 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: CCCDS TURLOCK CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 503602075
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/18/2022

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
1 2 3 4	Based on observation and interview with staff, the licensee did not comply with the section cited above in LPA observed floors to be dirty stained carpeting and crumbs on the floor in the infant areas. LPA interviewed a staff who admitted to not using shoe covers or changing out her shoes where children were sleeping on a mat on the floor which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/01/2022
	Plan of Correction
1 2 3 4	Teacher agrees to have a work order for carpet cleaning. Teacher agrees to send evidence of cleaned carpets by POC date.

Type B

Section Cited

CCR

101429(a)(2)(B)(3)(a)

Responsibility for Providing Care and Supervision for Infants

(B) Staff shall physically check on sleeping infant(s) every 15 minutes and document the following: (3) Infants up to 12 months of age who are sleeping in a position other than on their back. (a) If the infant’s Individual Infant Sleeping Plan [LIC 9227 (3/20)] does not have Section C completed, staff shall return the infant to their back for sleeping. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above LPA observed sleep plans to be incompleted without authorized representative signatures nor staff signature. Teacher in the room confirmed infant was in fact turn over but form was not completed which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/01/2022
	Plan of Correction
1 2 3 4	Teacher agrees to provide a training to staff on how to properly fill out this form. Teacher will submit an agenda and signatures of staff who attended the training by POC date.

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: Araceli Gibson	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CCCDS TURLOCK CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 503602075
	VISIT DATE: 08/18/2022

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At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department LPA advised this needed to reported CCLD upon Director's leave of absence. 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. There is a ratio of one teacher supervising no more than four infants 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, medical assessment, individual feeding plan, and Infant Needs and Services Plan. A reviewed a sample of staff files and observed to be incomplete LPA issued a Technical violation Licensing forms were not on site. LPA waited to receive files. LPA reviewed staff files with health screening, immunization records for influenza, pertussis and measles and documentation of completed mandated reporter training. Staff records contain documentation of meeting qualification requirements. Menus are posted at least one week in advance where an authorized representative can view them. Infant changing tables have a padded surface and are covered with washable vinyl or plastic and have raised sides at least three inches high. Toys observed are safe with no sharp points, edges or splinters and are without small parts that can be pulled off and swallowed. The facility has sufficient cribs, cots or mats for infant napping. There is indoor and outdoor activity space for infants that is physically separate.

Each crib, mat or cot is occupied by only one infant at time and cribs are kept free from all loose articles including blankets and pillows and there are no objects hanging above or attached to the crib. Infants are not swaddled while in care. LPA observed Staff physically checks on sleeping infants every fifteen minutes. Staff is checking for any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Documentation for infants up to 12 months includes sleeping position if it is other than on their back. Individual Infant Sleeping Plan were found to be incomplete for infants under 12 months. LPA issued TYPE B Head teacher to provide training on the use and maintenance of the form LIC 9227. Infants up to 12 months of age are placed on their backs for sleeping. Staff-infant ratio requirements are being met while infants are sleeping.

Incidental Medical Services (IMS) are currently being provided and are on file. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (559) 494-3000 ext. 3237 (TDD) and website link https://www.ada.gov/childqanda.htm.

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Araceli Gibson	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CCCDS TURLOCK CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 503602075
	VISIT DATE: 08/18/2022

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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.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are cited today (see 809D). Appeal rights were provided to Head Teacher.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Juvenal Moctezuma	TELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Araceli Gibson	TELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2022

LIC809 (FAS) - (06/04)

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