540406489-10-15-2020-04-CC-JMOA-BUEVHJ-20201015162711

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 540406489
Report Date: 10/14/2020
Date Signed: 10/15/2020 04:27:17 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:	WASHINGTON PRESCHOOL		FACILITY NUMBER:	540406489
ADMINISTRATOR:	DORIA, CHERI		FACILITY TYPE:	850
ADDRESS:	211 LEARNING LANE		TELEPHONE:	(559) 562-8523
CITY:	LINDSAY	STATE: CA	ZIP CODE:	93247
CAPACITY:	96	CENSUS: 0	DATE:	10/14/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Cheri Doria		TIME COMPLETED:	12:00 PM

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On 10/14/2020, Licensing Program Analyst (LPA) Juvenal Moctezuma conducted an unannounced Case Management inspection and met with Program Director, Cheri Doria. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located on the premises of Washington Elementary school on 211 Learning Lane in Lindsay, CA. The licensee is requesting an increase of capacity of 120 preschool children by adding an additional classroom. This program will operate on a traditional school year schedule from 7:45 AM to 2:45 PM and classrooms labeled #4 &#5 from 7:45 AM to 10:45 AM. This newly increased of capacity will operate in classroom labeled #5. Cheri Stated children usually have breakfast in the school cafeteria and then get brought over to the classroom. Lunch or snacks are not provided for this specific classroom since its only a 3 hour program. Staff will utilize the bathroom located outside the classroom. Ill children will be isolated in the directors office and use the bathroom located there. The classroom was observed to be clean and free of toxins. There is a small kitchen which is inaccessible to children since it has half wall built around it and a half door that will remain closed and locked at all times. Cheri stated that the cleaning items will be stored in there. LPA observed that the furniture and equipment appeared to be safe and in good condition. A working carbon monoxide is installed in the classroom. There are plenty of age appropriate items, tables, & chairs to meet the requested capacity.

Room measurements were taken and reviewed with Cheri. The total inside preschool area measured to an approximate 4,588 square feet which will accommodate the requested preschool capacity. There is adequate storage space available for children's belongings. Toys and equipment are age appropriate. There is a total of 18 toilets and 21 sinks/hand washing fixtures which will accommodate the requested capacity. There are water fountains in each classroom and outdoor.

The approximate outside square footage is 10,748 which will accommodate the requested preschool capacity of 120 preschool children. Cheri stated that they will recess their classrooms are separate times.

Report Continued Onto LIC 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2020

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: WASHINGTON PRESCHOOL	FACILITY NUMBER: 540406489
	VISIT DATE: 10/14/2020

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The playground provides two shade structures and a mature tree for shade. There is a play structure that's age appropriate. There is a shed outside for the preschool toys and equipment. The Licensee is using artificial turf for cushioning under the outdoor climbing structure. LPA reminded licensee to make sure they have visual supervision of children at all times. Cheri stated that they will add a gate next to the children's drinking fountains to prevent children from going behind the drinking fountains and keep them away from the AC Unit or cables.

A fire clearance for 120 children was received and granted by the Lindsay Fire Department on 09/02/2020.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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

The following items must be completed prior to issuing a license by 10/28/2020.

Classroom #5

Anchor big cabinets and wooden furniture to prevent from tipping over.
Get stepping stools for bathroom use.

Play yard

Put fence up to make AC and cables inaccessible to children.
Get lock for fence.
Clean toys since they have spider webs and are dirty before children arrive at center
Shave all the threads bolts to a recommended size of 3/4 around the fence.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 120 preschool children.

Report Continued Onto LIC 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2020

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: WASHINGTON PRESCHOOL	FACILITY NUMBER: 540406489
	VISIT DATE: 10/14/2020

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The following documents should be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule
* Lead Poisoning brochure

No deficiencies cited during today's visit.
A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 10/14/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2020

LIC809 (FAS) - (06/04)

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