540406725-2-25-2020-04-CC-KPAO-BM5LVC-20200225080520

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 540406725
Report Date: 02/24/2020
Date Signed: 02/25/2020 08:05:23 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:	PALO VERDE PRESCHOOL		FACILITY NUMBER:	540406725
ADMINISTRATOR:	ANDERSON, PHIL		FACILITY TYPE:	850
ADDRESS:	9637 AVENUE 196		TELEPHONE:	(559) 688-0648
CITY:	TULARE	STATE: CA	ZIP CODE:	93274
CAPACITY:	24	CENSUS: 17	DATE:	02/24/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Laura DeRosa		TIME COMPLETED:	02:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 2/24/2020, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced annual inspection. LPA met with Lead Teacher, Laura DeRosa. A tour of the facility was conducted inside and outside. There were no swimming pools, bodies of water, firearms and/or ammunition on the premises. Disinfectants, hazardous items and medications were inaccessible to children. LPA did not observe any poison on site during the inspection. Furniture, equipment and materials were sufficient, age appropriate, in good repair and toxic free. The playground equipment and outdoor activity space was maintained and in good condition with adequate cushioning material. LPA observed the sandbox in the outdoor playground to have debris, such as food wrappers, in it and the sandbox did not have a cover. Children's toilets and hand washing facilities were sanitary and in good operating condition. Rooms and floors were safe and clean. The children eat breakfast and lunch in the school cafeteria. The classroom does not have a storage container for solid waste with a tight-fitting cover. Sanitary drinking water was available both indoors and outdoors, however, the indoor water fountain has low water pressure. The Licensee was taking measures to keep the facility free of insects, rodents, etc. No excluded adults were present at the facility. Criminal record clearance records were completed as condition for employment and maintained by the Palo Verde Unified School District. Conditions, limitations and capacity specified on license were in compliance. First Aid/CPR reviewed and in compliance. Qualified staff designated to act in the Director’s absence was reported accordingly. Sign In/Sign Out sheets had a full legal signature and time of day. Teacher/child ratios were maintained and adequate supervision was provided during inspection with two assistants present. A sample of children's records were reviewed. Children’s records included required medical and consent for emergency medical treatment. Staff records contained required documentation of educational background, training and/or experience. This facility has one session from 8:30 AM to 2:20 PM and operates on the traditional school year. (continued on next page)

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy Pacheco	TELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

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: PALO VERDE PRESCHOOL	FACILITY NUMBER: 540406725
	VISIT DATE: 02/24/2020

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. Licensee is aware that an IMS plan is required to be submitted to the Licensing office if they provide any of these services. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following is information regarding ADA: 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.

LPA and Licensee discussed information regarding AB 2370, Chapter 676, Statutes of 2018, requiring child care providers to inform parents and/or guardians with lead safety information.
Per California Code of Regulations, Title 22, no deficiencies observed in the areas inspected today.

Exit interview conducted with Licensee. Licensee provided with a copy of the Facility Evaluation Report and the LIC 9213 Notice of Site Visit. The Facility Evaluation Report is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy Pacheco	TELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2020

LIC809 (FAS) - (06/04)

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