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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540404975
Report Date: 10/16/2019
Date Signed: 10/16/2019 02:49:59 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:KAWEAH KIDS' CENTER - INFANT CENTERFACILITY NUMBER:
540404975
ADMINISTRATOR:HARDIE, KATHRYNFACILITY TYPE:
830
ADDRESS:507 W. WILLOWTELEPHONE:
(559) 624-2170
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:42CENSUS: 27DATE:
10/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Kathryn Hardie - Director TIME COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) PJessika Thompson conducted an unannounced annual/random inspection. LPA met with Director Kathryn Hardie who provided a tour of facility, inside and outside, as shown on the facility sketch. There are no bodies of water, firearms and/or ammunition on the premises. Disinfectants, hazardous items and medications are inaccessible to children. Storage area for poisons is locked and medications are inaccessible to children. Furniture, equipment and materials are sufficient, age appropriate, in good repair and toxic free. The playground equipment and outdoor activity space is maintained and in good condition, free of hazards with adequate cushioning material. Rooms and floors are safe and clean. Storage containers for solid waste are in good repair with tight-fitting covers. Conditions, limitations and capacity specified on license are in compliance. Staff requiring criminal record clearance or exemptions are associated to the facility. First Aid/CPR reviewed and in compliance. Sign In/Sign Out sheets contain parent’s or authorized representatives’ full legal signature. A sample of children's and staff’s records reviewed. Children’s records include required; medical assessment and consent for emergency medical treatment, Infant Needs and Services Plan that includes required individual feeding plan. Staff records contain required documented health screening, proof of Child Abuse Mandated Reporter training, proof of immunization, and documentation of infant qualifications that include educational background, training and/or experience. Staff provide direct supervision and are in compliance with ratios. There is sufficient infant napping equipment. Infant indoor and outdoor activity space is separate from other components of the facility. Earthquake safety was discussed. Director Hardie understands that an Earthquake Preparedness Checklist (LIC9148) must be posted on the parent’s board. Incidental Medical Services (IMS) are not currently being provided. Director Hardie was advised that if/when IMS are provided, a plan for providing IMS must be submitted to the Department. Director Hardie was advised that updated forms may be obtained on the Community Care Licensing Division's website,www.ccld.ca.gov. Safe sleep was discussed; LPA provided Director Hardie with a handout.

Per California Code of Regulations, Title 22, Division 12, no deficiencies were observed.
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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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