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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808859
Report Date: 11/07/2019
Date Signed: 11/07/2019 02:16:36 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:BETHEL CHRISTIAN DAYCARE & PRESCHOOLFACILITY NUMBER:
503808859
ADMINISTRATOR:HAMMOND, KIMBERLYFACILITY TYPE:
830
ADDRESS:2361 SCENIC DRIVETELEPHONE:
(209) 521-5454
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY:8CENSUS: 6DATE:
11/07/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kimberly HammondTIME COMPLETED:
02:30 PM
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An unannounced Annual/Random inspection was conducted today by Licensing Program Analysts (LPAs) Angelica Mejia and Kathy Pacheco. LPAs met with Director Kimberly Hammond and toured the facility, both indoors and outdoors. Children are supervised at all times. The facility ensures that each infant is never left unattended and is under the direct visual supervision of a staff person at all times. The facility is in compliance with required staff-infant ratios. There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed during today’s visit. All materials and surfaces accessible to children are toxic free. All floors are clean and safe. There is sufficient infant napping equipment that is physically separated from the infant activity area. Infant indoor and outdoor activity space is separate from other components of the facility. Furniture and equipment are in good condition and free of sharp, loose, or pointed parts. Bottles, dishes, and containers of food brought by the infant's authorized representative are labeled with the infant's name and the current date. While in use, infant changing tables are placed within arm's reach of a sink. All kitchen, food prep, and storage areas are clean and free of litter, rubbish, and pests. All food is protected from contamination, and contaminated food is discarded immediately. All food and beverages capable of rapid spoiling are stored in covered containers at 45°(F) or less. Solid waste storage vessels, including moveable bins, have tight-fitting covers on and are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Menus are posted at least one week in advance and are visible to authorized representatives. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Playground equipment is in good condition and free of sharp, loose, or pointed parts. Outdoor activity space contains an area with rubber mat tiles that have become uneven. Licensee is researching options for replacement of the surface material.
(Continued on LIC809-C)
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
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: BETHEL CHRISTIAN DAYCARE & PRESCHOOL
FACILITY NUMBER: 503808859
VISIT DATE: 11/07/2019
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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. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. A review of personnel and children’s records was conducted. Staff records contain appropriate documentation of health screening, education credits and infant qualifications that include educational background, training and/or experience. Mandated Reporter training AB 1207 is current for all staff that provide care and supervision for children. Children’s records include required medical assessment, consent for emergency medical treatment and an Infant Needs and Services Plan that includes an individual feeding plan. The person who signs the child in/out is responsible for the child, uses their full legal signature and records the time of day. Child's admission agreement is available for review. Required CCL forms are posted on parent's board. This is a full day program which operates Monday – Friday; 06:30 AM – 06:00 PM.

This facility provides Incidental Medical Services (IMS). There were no children currently receiving these services. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today. Site Visit Notice posted on the parent board. Exit interview was conducted with Kimberly Hammond.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.


LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2019
LIC809 (FAS) - (06/04)
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