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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503607701
Report Date: 02/05/2020
Date Signed: 02/05/2020 02:51:38 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:CHILDREN'S CRISIS CENTER-GUARDIAN HOUSEFACILITY NUMBER:
503607701
ADMINISTRATOR:GARCIA, COLLEENFACILITY TYPE:
850
ADDRESS:246 WEST F STREETTELEPHONE:
(209) 577-0138
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:26CENSUS: 21DATE:
02/05/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Maria SidaTIME COMPLETED:
03:00 PM
NARRATIVE
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An annual required inspection is being conducted by LPA Claudia Henley. Met with Site Supervisor Maria Sida. There were a total of 21 preschool children present in the main house and in the cottage. No exempt school age children were present today. 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 and no firearms on the premises. The carbon monoxide, smoke alarm and smoke detector are in working order. Fire drill conducted within the last six months. Poisons are inaccessible to children. Disinfectants, hazardous items are inaccessible to children. Licensee has an Incidental Medical Services Plan on file. Medication (nebulizer) present at facility. Licensee has the appropriate paperwork on file. Furniture and equipment are sufficient, age appropriate and in good repair. The playground climbing structure to the west of the playground area has several areas of red peeling paint on the wood platform areas. LPA observed loosened chips of red paint on the platform areas. Bark cushioning is used under climbing structures and is adequate. 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. 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. Reviewed four preschool children files. Staff files were reviewed. Staff are current on immunization and on Child Abuse Mandated Reporter Training.

The following is cited per Title 22 Regulation (see page 2). Appeal Rights left with center representative.

Exit interview was conducted. Site Visit Notice posted on the parent board.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 02/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2020
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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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: CHILDREN'S CRISIS CENTER-GUARDIAN HOUSE
FACILITY NUMBER: 503607701
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/05/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/19/2020
Section Cited

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Building & Grounds: The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-
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being of children, employees and visitors. This requirement was not met as evidenced by:The preschool wooden playground climbing structure has peeling red paint on the wood platforms. LPA observed broken off chips of the paint on the platform areas.
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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: 02/05/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/05/2020
LIC809 (FAS) - (06/04)
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