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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 535401399
Report Date: 03/06/2020
Date Signed: 03/06/2020 11:19:21 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:LEWISTON PRESCHOOL PROGRAMFACILITY NUMBER:
535401399
ADMINISTRATOR:RYKERT, BRITTNEYFACILITY TYPE:
850
ADDRESS:685 LEWISTON RD. #2TELEPHONE:
(530) 778-3984
CITY:LEWISTONSTATE: CAZIP CODE:
96052
CAPACITY:20CENSUS: 11DATE:
03/06/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:38 AM
MET WITH:Brittney Rykert Site SupervisorTIME COMPLETED:
10:00 AM
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A annual inspection was made to the facility by Licensing Program Analyst, Wisehart. The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. The preschool operates in room #2 on the Lewiston Elementary School grounds. The facility is a State run preschool and is a Title 5 funded school.

Operating hours are 8-11:30 am, Mon-Fri. The facility is closed in the summer and during school breaks. The facility was toured inside and outside and the floor and yard plan were verified. The items which could pose a danger to children (such as detergents, cleaning compounds and medications) were observed to be inaccessible to children. The director stated poisons are stored off-site with the school maintenance department. . The toys, floors, desks and other equipment and surfaces are clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors via water fountain and outdoors via water bottles. The children's bathrooms are in safe and sanitary condition. Food prep areas are clean. Food is properly stored and refrigerated as needed. There was no contaminated food observed. The LPA observed a working carbon monoxide detector in the facility. The playground was free of hazards. The playground equipment and surface areas were in safe condition. There is rubberized bark cushioning underneath climbing structures and/or play equipment to absorb falls is present however, LPA encouraged facility to increase disbursement under structures. There were no bodies of water observed.

SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: LEWISTON PRESCHOOL PROGRAM
FACILITY NUMBER: 535401399
VISIT DATE: 03/06/2020
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The Site Supervisor stated no weapons are stored on site and none were observed. During today's inspection, staffing ratios were being met, and 11 children were being supervised by 2 teachers/aides. The facility was operating within the licensed capacity. At least one staff member present during the visit (S#1) possessed current CPR and First Aid certifications 2/22/22. The sign-in/sign-out procedure was reviewed and in compliance. Six children’s records were reviewed at 9:18 am, and contained signed admission agreements. Two staff records were reviewed and contained documentation of education and training as required. This facility is not providing Incidental Medical Services (IMS). 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: www.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure and Lead Exposure Testing, were reviewed and discussed with the Site Supervisor. All licensing reports are public information and must be made available upon request for at least three years.

Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's inspection.
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Carrie WisehartTELEPHONE: (530) 895-5824
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
LIC809 (FAS) - (06/04)
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