543801600-10-3-2019-04-CC-DMEO-BGLPPT-20191003113004

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543801600
Report Date: 10/03/2019
Date Signed: 10/03/2019 11:30:12 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:	STRATHMORE UNION ELEM.SCH.DISTRICT STATE PRESCHOOL		FACILITY NUMBER:	543801600
ADMINISTRATOR:	DAVID FRANKIEWICH		FACILITY TYPE:	850
ADDRESS:	22898 AVE. 198		TELEPHONE:	(559) 568-0007
CITY:	STRATHMORE	STATE: CA	ZIP CODE:	93267
CAPACITY:	21	CENSUS: 18	DATE:	10/03/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	David Frankiewich		TIME COMPLETED:	11:45 AM

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	Licensing Program Analysts (LPAs), Diane Mercado and Pete Espinoza, conducted an unannounced annual inspection today. LPA met with Director, David Frankiewich, toured the facility inside and outside, and census was taken. Staff and children were spoken to during today’s visit. The following areas are in compliance during this 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. LPA did not observe any poison on site today. Director, David Frankiewich, understands if any is brought into the facility it must be stored under lock and key. Furniture and equipment are sufficient, age appropriate and in good repair. The playground equipment and outdoor activity space is maintained and in good condition with adequate cushioning material, woodchips. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation is done off-site and brought into the classroom. Drinking water is available both indoors and outside. Measures are taken to keep facility free of insects and rodents. Criminal records clearance are completed as condition for employment and maintained by the Strathmore Union Elementary School District. Teacher-child ratios are maintained, and adequate supervision is being provided during this visit. First Aid/CPR certifications were reviewed and follow regulations. Licensee provided proof of required immunization (Pertussis/Measles/Influenza) and written declaration declining flu shot and Mandated Reporter Training for all staff. Sign in/sign out sheets are maintained. The facility is following the conditions, limitations and capacity specified on the license. 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. This facility provides Incidental Medical Services (IMS). LPAC 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 809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane Mercado	TELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

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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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: STRATHMORE UNION ELEM.SCH.DISTRICT STATE PRESCHOOL	FACILITY NUMBER: 543801600
	VISIT DATE: 10/03/2019

NARRATIVE

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This facility currently provides IMS but has yet to submit an IMS plan of operation. Licensee has 30 days starting today to submit an IMS plan of operation to the CCL office.

Hours of operation are Monday-Friday 8:30-11:30am and 12:15-3:15pm

An exit interview was conducted with Director, David Frankiewich. A copy of this report must remain in the facility for public review.

No deficiencies were observed during today's visit.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane Mercado	TELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019

LIC809 (FAS) - (06/04)

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