543810027-10-2-2021-04-CC-JMOA-C7F42B-20211002184252

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543810027
Report Date: 09/30/2021
Date Signed: 10/02/2021 06:42:57 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:	LUSD-WASHINGTON ELEMENTARY		FACILITY NUMBER:	543810027
ADMINISTRATOR:	DORIA, CHERI		FACILITY TYPE:	850
ADDRESS:	451 E SAMOA		TELEPHONE:	(559) 562-8523
CITY:	LINDSAY	STATE: CA	ZIP CODE:	93247
CAPACITY:	24	CENSUS: 20	DATE:	09/30/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Cheri Doria		TIME COMPLETED:	11:50 AM

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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 Washington Elementary school on 211 Learning Lane in Lindsay, CA. Licensee has changed classrooms starting August 12th since that's when school started. LPAs advised Cheri that children should not be utilizing this new classroom (29) prior to licensing approving the classroom. The previous classroom that was being used (3) is now being utilized by school age children so cheri stated that they had no other option than to move children into this classroom. The playground which is out in the front part of the classroom is still under construction. LPA advised cheri to make that inaccessible to children by having a temporary gated fence.

The licensee is keeping the same capacity of 24 preschool children ages 4-5 years old. This program will operate on a traditional school year schedule and will only have a morning session from 7:45 AM to 11:00 AM. Cheri Stated children usually have breakfast in the school cafeteria. Lunch or snacks are not provided since its only a half day program. Staff will utilize the staff bathroom located outside out in the school premises. Ill children will be isolated in the nurses office and use the bathroom located there. The classroom was observed to be clean and free of toxins. The cleaning items/supplies will be stored in the work room which is inaccessible to children. 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 851 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 2 toilets and 4 sinks/hand washing fixtures which will accommodate the requested capacity. There is a water fountain inside the classroom and children have their own water bottles.

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: LUSD-WASHINGTON ELEMENTARY	FACILITY NUMBER: 543810027
	VISIT DATE: 09/30/2021

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Cheri stated that children will continue to use Washington's Preschool Playground (540406489) which is the same licensee and is located on the same premises. The current outside licensed playground was measured on 12/04/2017 and had and approximate outside square footage of 7,600 which will accommodate the requested preschool capacity of 24 preschool children. Waiver was approved. The current playground is under construction. Cheri will let licensing know once that has been completed and understands that children should not have any access to it or be in contact with construction workers. The playground that has a waiver has a shade structure and a mature tree for shade. There is a play structure that's age appropriate. 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. Children also have a waiver to use the bathroom located in classroom #2 when playing in the playground.

A fire clearance for 24 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

Finish construction in playground outside.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 24 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: LUSD-WASHINGTON ELEMENTARY	FACILITY NUMBER: 543810027
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 10/06/2021 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 20 children in the classroom that was not approved by licensing and by interviewing Director. 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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