543808682-10-2-2021-04-CC-JMOA-C7F3ZZ-20211002184223

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543808682
Report Date: 09/30/2021
Date Signed: 10/02/2021 06:42:29 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 PS		FACILITY NUMBER:	543808682
ADMINISTRATOR:	DORIA, CHERI		FACILITY TYPE:	850
ADDRESS:	461 W. HICKORY		TELEPHONE:	(559) 562-8523
CITY:	LINDSAY	STATE: CA	ZIP CODE:	93247
CAPACITY:	24	CENSUS: 38	DATE:	09/30/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Cheri Doria		TIME COMPLETED:	01:15 PM

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On 09/30/2021, Licensing Program Analysts (LPAs) Juvenal Moctezuma & Diane Mercado conducted an unannounced Case Management inspection and met with Program Director, Cheri Doria. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located on the premises of Roosevelt Elementary school on 461 W. Hickory in Lindsay, CA. Licensee has requested an increase of capacity since a classroom is being added (#2) and is going from 24 preschool children to 48 preschool children ages 3-4 years old. The two classrooms being used are going to be preschool classroom #1 (which is already licensed) & Preschool Classroom #2. Preschool children started utilizing classroom #2 since August 12th since that's when school started. LPAs advised Cheri that children should not be utilizing this new classroom (#2) prior to licensing classroom #2.

This program will operate on a traditional school year schedule and will have two sessions. Monday-Friday 7:45am-10:45am for AM session and 11:45am-2:45pm for PM session. Food is provided by the centralized kitchen and then brought over to the classrooms where is prepped and delivered to the children. Staff will utilize the staff bathroom located inside classroom #2. Ill children will be isolated in the nurses office and use the bathroom located there. The classrooms were observed to be clean and free of toxins. The cleaning items/supplies are stored up high in the kitchen area. LPA observed that the furniture and equipment appeared to be safe and in good condition. A working carbon monoxide was installed. There are plenty of age appropriate items, tables, & chairs to meet the requested capacity.

Room measurements were taken and reviewed with Cheri. The total inside preschool area measured to an approximate 1,729 square feet which will accommodate the requested preschool capacity. There is adequate storage space available for children's belongings. Toys and equipment are age appropriate. There is a total of 4 toilets and 4 sinks/hand washing fixtures which will accommodate the requested capacity. There is a water fountain inside the classroom and outside.

Report Continued Onto LIC 809-C

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

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: LINDSAY U.S.D.-ROOSEVELT PS	FACILITY NUMBER: 543808682
	VISIT DATE: 09/30/2021

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The outdoor play area is gated and has a play structure, shade area, water fountains, a bike path, and plenty of age appropriate toys. The outdoor play area was measured when the center had its prelicensing inspection on 8/4/2011 and the playground measured to an approximate outdoor square footage of 22,512 which will accommodate the requested preschool capacity of 48 preschool children. The licensee is using artificial turf for cushioning under the outdoor climbing structure. LPA reminded licensee to make sure they have visual supervision of children at all times.

A fire clearance for 48 children was received and granted by the Lindsay Fire Department on 08/26/2021.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: 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

The following items must be completed prior to issuing a license by 10/15/2021.

Preschool

Anchor cubbies in classroom #1.
Add Latch to storage closet to prevent children from having access to it.
Get latch for gate out in play yard to keep children from having access to the back of the classrooms.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 48 preschool children.

Per California Code of Regulations Title 22 Division 12 Chapter 1, the following deficiency is being cited. (See 809-D).

Exit interview conducted with Director. Appeal rights were provided. Notice of Site to be posted for 30 days.

To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

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: LINDSAY U.S.D.-ROOSEVELT PS	FACILITY NUMBER: 543808682
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/30/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Request Denied Type B 10/08/2021 Section Cited	1 2 3 4 5 6 7	A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. The above requirement was not met as evidenced by:
	8 9 10 11 12 13 14	LPAs observed a total of 16 children in classroom #2 which was not yet approved by CCL and 22 children in classroom #1. This poses a potential risk to the health, safety, or personal rights of children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal Moctezuma	TELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

LIC809 (FAS) - (06/04)

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