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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503608480
Report Date: 01/13/2020
Date Signed: 01/13/2020 02:12:58 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:KIDDIE KINGDOM DAYCARE CENTERFACILITY NUMBER:
503608480
ADMINISTRATOR:CASTILLO, DAISYFACILITY TYPE:
830
ADDRESS:3900 MORGAN ROAD #GTELEPHONE:
(209) 537-8944
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY:12CENSUS: 11DATE:
01/13/2020
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Daisy CastilloTIME COMPLETED:
02:30 PM
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On 01/13/2020, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced annual inspection. LPA met with Director Daisy Castillo who accompanied LPA on a tour of the facility, inside and outside. Hours of operation are Monday through Friday, 7:00AM to 6:00PM.

Upon entrance to the facility, LPA conducted a census. LPA observed a total of eleven (11) infants. LPA observed three (3) infants in the infant sleeping room with (1) teacher, Teacher #1. As LPA entered the infant sleeping room, Teacher #1 exited the infant sleeping room with one infant, leaving two (2) infants unsupervised in the room asleep. LPA advised another teacher, Teacher #2, who entered the infant classroom, that an infant teacher needed to be present in the sleeping room with the children at all times. Teacher #2 stayed in the infant sleeping room to supervise sleeping children. LPA observed Infant #1 asleep in a crib wrapped in a swaddling blanket with their arms wrapped in the blanket, making Infant #1 unable to move their arms freely. LPA advised Teacher #2 of safe sleep regulations and requirements for sleeping infants, and Teacher #2 removed the blanket from the crib immediately. Teacher #2 stated she was unaware of safe sleep requirements for infants under 12 months old.

There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a child care center. Disinfectants, cleaning solutions, and other items that are hazardous are inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats. The facility has sufficient infant napping equipment. No baby walkers were observed during today’s inspection. The facility has indoor activity space for infants that is physically separate from space used by preschool child care center components. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Infant changing tables are placed within arm's reach of a sink.
(Continued on LIC 809-C)
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 4
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: KIDDIE KINGDOM DAYCARE CENTER
FACILITY NUMBER: 503608480
VISIT DATE: 01/13/2020
NARRATIVE
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The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA observed sufficient cushioning material in the form of synthetic grass underneath play equipment.

All storage containers for solid waste, including moveable bins, have tight fitting covers that are kept on, and are in good repair. Bottles, dishes, and containers of food brought by the infant's authorized representative are labeled with the infant's name and the current date. Menus are posted at least one week in advance in a place visible by the child's authorized representative and are made available upon request.

Capacity as specified on the license is being maintained. There is a ratio of one staff supervising no more than four infants in attendance. Prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review have obtained a clearance or criminal record exemption. Community Care Licensing (CCL) shall notify a licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons. The licensee shall comply with the notice.

The licensee ensures that personnel records are maintained on the licensee, administrator, and each employee. The facility ensures that staff being utilized as infant teachers meet the qualification requirements. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off-site activities. The person who signs the child in/out, is responsible for the child, uses his/her full legal signature and records the time of day. The facility has an individual feeding plan for each infant that meets the requirements. The facility ensures that each infant has an Infant Needs and Services Plan, that is updated quarterly.

Required CCL forms are posted on parent's board.

Incidental Medical Services (IMS) are not currently being provided, but a general IMS plan is in place in the event a child requiring an IMS plan is enrolled. The following information regarding Americans with Disability Act (ADA) was provided: US Department of Justice toll free ADA Information line at (800) 514-0301(voice) and (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm for Commonly Asked Questions about Child Care Centers and the ADA.

(Continued on LIC 809-C)

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: KIDDIE KINGDOM DAYCARE CENTER
FACILITY NUMBER: 503608480
VISIT DATE: 01/13/2020
NARRATIVE
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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, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see LIC809-D). An Immediate Civil Penalty of $500 was assessed for the day of 01/13/2020. Exit interview was conducted with Daisy Castillo.

Licensee was provided a copy of appeal rights.

"Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months."



A copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) was given to licensee.

This report is to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted on the parent board for 30 days.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 01/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: KIDDIE KINGDOM DAYCARE CENTER
FACILITY NUMBER: 503608480
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/13/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/14/2020
Section Cited

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Responsibility for providing care and supervision for infants: Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. Under no circumstances shall ANY infant be left unattended. This requirement was not met as evidenced by:
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Based on LPA's observation and interview, facility did not ensure supervision requirements for infants was met as two infants were left unattended in the infant sleeping room unsupervised. This poses an immediate risk to the health, safety, and personal rights of children in care.
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Type B
02/10/2020
Section Cited

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Personal Rights: (a)The licensee shall ensure that each child is accorded the following personal rights: (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Based on LPA's observation of sleeping infant swaddled in a blanket, facility did not ensure the personal rights of Infant #1 to be accorded safe accomodations were met.
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Director agreed to submit log to CCL of all staff who have been trained on safe sleep requirements by POC due date, 02/10/2020.
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: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:
DATE: 01/13/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/13/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4