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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503604207
Report Date: 01/21/2020
Date Signed: 01/21/2020 01:01:21 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:BOER SCHOOL HEAD START CENTERFACILITY NUMBER:
503604207
ADMINISTRATOR:DUVAL PATTYFACILITY TYPE:
850
ADDRESS:4801 GOLD VALLEY ROADTELEPHONE:
(209) 545-8592
CITY:SALIDASTATE: CAZIP CODE:
95368
CAPACITY:20CENSUS: 16DATE:
01/21/2020
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Jennifer BeallTIME COMPLETED:
01:30 PM
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An annual required inspection #3 is being conducted today by LPA Claudia Henley. Met with Jennifer Beall, Supervisor. There were 16 children present. A tour of facility was conducted inside and outside. Staff and children were spoken to during visit. The following areas are in compliance during this visit: There are no bodies of water. No firearms on the premises. Disinfectants and hazardous items are inaccessible to children. No medication is given in this classroom. Furniture and equipment are sufficient, age appropriate and in good repair. Fire/disaster drill was conducted on January 7, 2020. Carbon monoxide detector is installed and working properly. The playground equipment and outdoor activity space is maintained and in good condition. Adequate bark cushioning under and around the play structures. Shade and water available. Playground waiver on file. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination. 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. No excluded individuals are present. Fingerprint clearances not reviewed as district uses its own system for fingerprints. First aid/CPR reviewed and in compliance. Sign in/sign out sheets maintained. Children's files and staff files were reviewed. Staff are current on immunization record and online Child Abuse Mandated Reporter Training. Children's files were reviewed. The child care hours/days of operation are: Monday through Friday, 8:00 a.m. to 2:00 p.m.

This facility provides Incidental Medical Services – IMS. Medication (inhalers) were present on site. Medication records were reviewed today.

No deficiencies observed in the areas inspected during today's visit.
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: 01/21/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2020
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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