543810029-1-28-2020-04-CC-KPAO-BL9NV2-20200128094714

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543810029
Report Date: 01/27/2020
Date Signed: 01/28/2020 09:47:18 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:	C.A.T. CHILD CARE CENTER		FACILITY NUMBER:	543810029
ADMINISTRATOR:	MARTINA RODRIGUEZ		FACILITY TYPE:	850
ADDRESS:	136 N O ST		TELEPHONE:	(559) 685-8182
CITY:	TULARE	STATE: CA	ZIP CODE:	93274
CAPACITY:	25	CENSUS: 18	DATE:	01/27/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Jose Camilo		TIME COMPLETED:	01:45 PM

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) Kathy Pacheco conducted an unannounced annual/random inspection. LPA met with Administrator, Jose Camilo, who provided a tour of facility, inside and outside, as shown on the facility sketch. There were no bodies of water, firearms and/or ammunition on the premises. Disinfectants, hazardous items and medications were inaccessible to children. Storage area for poisons was locked and inaccessible to children. Furniture, equipment and materials were sufficient, age appropriate, in good repair and toxic free. The playground equipment and outdoor activity space was maintained and in good condition, free of hazards with adequate cushioning material. Children's toilets and hand washing facilities were sanitary and in good operating condition. Rooms and floors were safe and clean. Food preparation area was clean and free of rodent and other vermin. Contaminated food was discarded immediately, when applicable. Sanitary drinking water was available both indoors and outdoors. The Licensee was taking measures to keep the facility free of insects, rodents, etc. No excluded adults were present at the facility. Conditions, limitations and capacity specified on license were in compliance. Staff requiring criminal record clearance or exemptions were associated to the facility as indicated on LIS 531 – Facility Roster. First Aid/CPR reviewed and in compliance. Qualified staff designated to act in the Director’s absence was reported accordingly. Sign In/Sign Out sheets had a full legal signature and time of day. Teacher/child ratios were maintained and adequate supervision was provided during inspection. Menus were posted. A sample of children's and staff’s records were reviewed. Children’s records included required medical and consent for emergency medical. Staff records contained required documented health screening. Licensee provided proof of required immunization (Pertussis/Measles/Influenza) and/or written declaration declining flu shot for all staff. Licensee also provided proof of required Mandated Reporter Training for staff. Incidental Medical Services (IMS) policy was discussed. Licensee is aware that an IMS plan is required to be submitted to the Licensing office if they provide any of these services. (continued on next page)

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy Pacheco	TELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020

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: C.A.T. CHILD CARE CENTER	FACILITY NUMBER: 543810029
	VISIT DATE: 01/27/2020

NARRATIVE

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Operating hours are Monday through Friday 5:30 AM - 5:30 PM

LPA provided Licensee with information regarding AB 2370, Chapter 676, Statutes of 2018, requiring child care providers to inform parents and/or guardians with lead safety information.
Per California Code of Regulations, Title 22, no deficiencies observed in the areas inspected today.

A copy of this report must remain in the facility for public review.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Michael Duarte	TELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy Pacheco	TELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:	DATE: 01/27/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/27/2020

LIC809 (FAS) - (06/04)

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