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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801910
Report Date: 11/20/2019
Date Signed: 11/20/2019 11:27:08 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:HOUSTON ELEMENTARY SCHOOL PRESCHOOLFACILITY NUMBER:
543801910
ADMINISTRATOR:ALONZO, CINDYFACILITY TYPE:
850
ADDRESS:1200 N. GIDDINGSTELEPHONE:
(559) 730-7772
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:24CENSUS: 23DATE:
11/20/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Margaret Mcclain - Early Childhood Education Lead TIME COMPLETED:
11:45 AM
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Licensing Program Analyst (LPA) Jessika Thompson and Ginny Badhesha conducted an unannounced annual/random inspection. LPA met Early Childhood Education Lead, Margaret Mcclain. A tour of the facility, inside and outside, as shown on the facility sketch was performed. There are no bodies of water. Firearms and ammunition are not on the premises. Furniture, equipment and materials are sufficient, age appropriate, in good repair and toxic free. Rooms and floors are safe and clean. This preschool follows the school year calendar of Visalia Unified School District with the hours of operation for two classes: 8:00 AM to 11:00 AM and 12:00 PM to 3:00 PM. The licensee is taking measures to keep the facility free of insects, rodents, etc. Conditions, limitations and capacity specified on license are in compliance. First Aid/CPR reviewed and in compliance. Facility has at least one functioning carbon monoxide detector that meets statutory requirements. Teacher/child ratios are maintained, and adequate supervision is provided during visit. Menus are posted. A sample of children's and staff’s records reviewed. Children’s records include required information including; Name, address and telephone number of child’s authorized representative and relatives and/or others who can assume responsibility in the event authorized representative cannot be reached. Staff records contain required documentation of the educational background, training, proof of immunization, and Child Abuse Mandated Reporter certification. Lead safety was discussed. Licensee ensures that lead safety information must also be provided to parents and/or authorized representatives of children in care. Provider Information Notices were discussed. Ms. Mclain was advised that updated information may be obtained on the Community Care Licensing Division's website (www.ccld.ca.gov). Fire and disaster drills are conducted at least once every six months and documented with the date and time. Earthquake safety was discussed and form LIC-9148, Earthquake Preparedness Checklist, is posted on parent’s board. Currently, there are no children enrolled requiring Incidental Medical Services (IMS). Ms. Mclain was advised that if/when IMS is provided a plan for providing IMS must be submitted to the Department.

Per California Code of Regulations, Title 22, Division 12, no deficiencies were observed today.

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: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
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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