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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540406489
Report Date: 12/03/2019
Date Signed: 12/03/2019 10:22:06 AM

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:WASHINGTON PRESCHOOLFACILITY NUMBER:
540406489
ADMINISTRATOR:DORIA, CHERIFACILITY TYPE:
850
ADDRESS:211 LEARNING LANETELEPHONE:
(559) 562-8523
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY:96CENSUS: 75DATE:
12/03/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Doria CheriTIME COMPLETED:
10:35 AM
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Licensing Program Analysts (LPAs), Diane Mercado and Ginny Badhesha, conducted an unannounced annual inspection today. LPAs met with Director, Cheri Doria. LPAs toured the facility inside and outside, and census was taken. Staff and children were spoken to during today’s visit. There are no bodies of water at this facility. Firearms and ammunition are not permitted on the premises. Disinfectants, hazardous items and medications are inaccessible to children. No poisons were observed on the premises. Furniture and equipment are age appropriate and in good repair. The playground equipment and outdoor activity space is maintained and in good condition with cushioning material. Children's toilets, hand washing facilities are sanitary. Rooms utilized by day care children is safe and clean. Food preparation area is clean, food is protected from contamination, and storage containers for solid waste are covered. Drinking water is available both indoors and outside. Fingerprints are conducted through Lindsay Unified school district as a condition of employment. Teacher/child ratios are maintained, and supervision is being provided during this visit. First Aid/CPR certifications were reviewed. Sign in/sign out sheets are maintained. A sample of children’s files were reviewed, and emergency information forms and medical assessment forms were noted. Staff files were reviewed, and health screening forms are on file. Menus are posted on the parent board. This is an AM/PM half day program which operates on a traditional school year schedule. The morning session is 7:45 A.M to 10:45 A.M and the afternoon session is 11:45 A.M to 2:45 P.M, Monday through Friday. Incidental Medical Services (IMS) policy is on file and was discussed. Facility is providing IMS services at this time. LPAs reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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 809-C

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
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 2
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: WASHINGTON PRESCHOOL
FACILITY NUMBER: 540406489
VISIT DATE: 12/03/2019
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LPAs and Director Cheri Doria 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, no deficiencies observed during today’s inspection. Exit interview was conducted with Director Cheri Doria.

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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2019
LIC809 (FAS) - (06/04)
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