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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543810067
Report Date: 12/11/2019
Date Signed: 12/11/2019 10:21:28 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:WEST PUTNAM PS-PUSDFACILITY NUMBER:
543810067
ADMINISTRATOR:REBECCA ORTEGA-ORTIZFACILITY TYPE:
850
ADDRESS:1345 W PUTNAM AVETELEPHONE:
(559) 782-7280
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:24CENSUS: 19DATE:
12/11/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maria Reyes, Assistant DirectorTIME COMPLETED:
10:30 AM
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An announced Case Management (90-day follow-up) inspection was made by LPA Pete Espinoza. LPA met with Maria Reyes, Assistant Director, who provided a tour of facility, inside and outside, as shown on the facility sketch. Facility is licensed for 24 children 2-6 years of age. Breakfast, lunch, snack will be provided and prepared in the cafeteria kitchen on site.
There are no bodies of water, firearms and/or ammunition on the premises. Disinfectants, are inaccessible to children. Furniture, equipment and materials are sufficient, age appropriate, in good repair and toxic free. LPA observed damaged structure in play area. Licensee stated they are in process to replace and/or repair the structure. Licensee stated children will NOT be allowed to use structure until it is repaired and/or replaced. Children's toilets and hand washing facilities are located in adjacent restroom and are sanitary and in good operating condition. Rooms and floors are safe and clean. Sanitary drinking water is available both indoors and outdoors. Conditions, limitations and capacity specified on license are in compliance. Criminal record clearance records are completed as condition for employment and maintained by the Porterville Unified School District. First Aid/CPR reviewed and in compliance. Qualified staff designated to act in the Director’s absence has been reported accordingly. Sign In/Sign Out sheets have a full legal signature and time of day. Teacher/child ratios are maintained and adequate supervision is provided during visit. Menus are posted. A sample of children's and staff’s records reviewed.
Licensee provided proof of required immunization (Pertussis/Measles/Influenza) and/or written declaration declining flu shot AND Certificate of Completion required Mandated Reporter Training for all staff.
Operating hours: Year-round Monday through Friday, from 7:30 AM to 5:30 PM.
Incidental Medical Services (IMS) policy was discussed. Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. When any IMS is provided, an updated 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
NO DEFICIENCIES OBSERVED IN THE AREAS INSPECTED DURING TODAY’S VISIT.
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2019
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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