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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503605796
Report Date: 09/13/2019
Date Signed: 09/13/2019 11:36:40 AM

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:SACRED HEART CATHOLIC PRESCHOOLFACILITY NUMBER:
503605796
ADMINISTRATOR:SMITH, PEGGYFACILITY TYPE:
850
ADDRESS:505 M STREETTELEPHONE:
(209) 892-5525
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY:30CENSUS: 25DATE:
09/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Peggy SmithTIME COMPLETED:
12:30 PM
NARRATIVE
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An annual random visit #3 is being conducted by LPA Claudia Henley. Met with Peggy Smith, Director. A tour of facility was conducted inside and outside. There were four staff present with 25 children. Staff were spoken to during visit. The following areas are in compliance during this visit: There are no bodies of water. Carbon monoxide detector is in working condition. Poisons are inaccessible to children. Disinfectants and hazardous items are inaccessible to children. Furniture and equipment are sufficient, age appropriate and in good repair. The playground equipment and outdoor activity space is maintained and in good condition. Licensee uses three large patio umbrellas to provide shade. There is a drinking fountain outside. Fire/disaster drill was conducted on September 5, 2019. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination. There are drinking fountains indoors. 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. Staff subject to a criminal record clearance or exemption are associated to the facility. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets maintained. Four children's files were reviewed. No medication is currently being given. There is an Incidental Medical Services Plan on file. Staff files were reviewed. Staff have proof of immunization. Some staff did not complete the mandated reporter training. The day care hours and days of operation are: Monday through Friday, 7:00 a.m. to 6:00 p.m.

The following is cited per Title 22 Regulations (see page 2). Appeal Rights left with center representative. 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: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
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: SACRED HEART CATHOLIC PRESCHOOL
FACILITY NUMBER: 503605796
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/13/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/11/2019
Section Cited

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Health & Safety Code-Section 1596.8662: Requires all licensed providers and employeesn to complete training as specified on their mandated
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reporter duties and to renew every two years. This requirement was not met as evidenced by: Staff #1 & Staff #2 did not complete the mandated reporter training
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:
DATE: 09/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/13/2019
LIC809 (FAS) - (06/04)
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