543808325-11-13-2019-04-CC-TMAZ-BHVSXG-20191113131556

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543808325
Report Date: 11/13/2019
Date Signed: 11/13/2019 01:16:02 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 ELEMENTARY SCHOOL PRESCHOOL		FACILITY NUMBER:	543808325
ADMINISTRATOR:	KALASHIAN, MARI		FACILITY TYPE:	850
ADDRESS:	500 S. GARDEN		TELEPHONE:	(559) 730-7795
CITY:	VISALIA	STATE: CA	ZIP CODE:	93277
CAPACITY:	24	CENSUS: 19	DATE:	11/13/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Margaret McLain		TIME COMPLETED:	11:00 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	On this date, Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Annual inspection and met with Early Childhood Education (ECE) Lead, Margaret McLain and Supervisor ECE Sabriya Bayati Pedretti. LPA Marquez toured the facility, both indoors and outdoors. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. This is an AM/PM half day program which operates on a traditional school year schedule. The morning session is 8:00AM to 11:00AM and the afternoon session is 12:00PM to 3:00PM, Monday through Friday. Required CCL forms are posted on parent's board. Furniture and equipment are in good condition. All materials and surfaces accessible to children are toxic free. All floors are clean and safe. The facility provides breakfast and/or lunch depending on the AM/PM program, snacks are not provided. Menus are posted at least one week in advance, where an authorized representative can view them. All toilets and hand washing facilities are in safe and sanitary operating conditions. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Areas around high climbing equipment, swings, and slides have cushioning material to absorb falls. Uncontaminated drinking water is available both indoors and outdoors. Firearms/weapons are not allowed or stored on premises. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Staff records contain appropriate, documentation of education credits. Criminal record clearance records are completed as condition for employment and maintained by the Visalia Unified School District. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. Child's admission agreement is available for review. Continue on LIC809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019

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: WASHINGTON ELEMENTARY SCHOOL PRESCHOOL	FACILITY NUMBER: 543808325
	VISIT DATE: 11/13/2019

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Incidental Medical Services (IMS) are not currently being provided. The Program Director is aware that an IMS plan is required to be submitted to the licensing office if they provide these services.
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.

The Director is to provide the updated licensing forms: LIC 500 - Personnel Report; LIC 308 Designation of Administrative Responsibility; LIC 610 Emergency Disaster Plan.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.

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 Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa Marquez	TELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019

LIC809 (FAS) - (06/04)

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