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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808682
Report Date: 10/16/2019
Date Signed: 10/16/2019 12:44:17 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:LINDSAY U.S.D.-ROOSEVELT PSFACILITY NUMBER:
543808682
ADMINISTRATOR:DORIA, CHERIFACILITY TYPE:
850
ADDRESS:461 W. HICKORYTELEPHONE:
(559) 562-8523
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY:24CENSUS: 23DATE:
10/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Dicla VelezTIME COMPLETED:
01:00 PM
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Licensing Program Analysts (LPAs), Diane Mercado and Robert Gutierrez, conducted an unannounced annual inspection today. LPA met with Teacher, Dicla Velez. LPAs toured the facility inside and outside, and census was taken. Staff and children were spoken to during today’s 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. No poisons were observed on the premises. Furniture and equipment are age appropriate and in good repair. The playground equipment and outdoor activity space is maintained and in good condition with cushioning material. Children's toilets, hand washing facilities are sanitary. Room utilized by day care children is safe and clean. Food preparation area is clean, food is protected from contamination, and storage containers for solid waste are covered. Drinking water is available both indoors and outside. Fingerprint clearances not reviewed as district uses its own system for fingerprints. Teacher/child ratios are maintained, and supervision is being provided during this visit. First Aid/CPR certifications were reviewed. Sign in/sign out sheets are maintained. 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 on the parent board. This is an AM/PM half day program which operates on a traditional school year schedule. The morning session is 7:40 A.M to 10:40 A.M and the afternoon session is 11:35 A.M to 2:35 P.M, Monday through Friday. This facility provides Incidental Medical Services (IMS). Currently, no children require medication. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) and (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.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today. Site Visit Notice posted on the parent board. Exit interview was conducted with Teacher Dicla Velez.

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 FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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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