100402030-8-4-2021-04-CC-JYAZ-C5KTZY-20210804151108

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100402030
Report Date: 08/04/2021
Date Signed: 08/04/2021 03:12:04 PM

Document Has Been Signed on 08/04/2021 03:12 PM - It Cannot Be Edited

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:	YOUNG WORLD		FACILITY NUMBER:	100402030
ADMINISTRATOR:	LUNA IBARRA, BENITA		FACILITY TYPE:	850
ADDRESS:	2240 N HOWARD		TELEPHONE:	(559) 222-8878
CITY:	FRESNO	STATE: CA	ZIP CODE:	93703
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 0	CENSUS: 36	DATE:	08/04/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Benita Luna - Director		TIME COMPLETED:	03:15 PM

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On 08/04/2021, Licensing Program Analysts (LPAs) Jeovanna Yanez and Joseph Pacheco, conducted an unannounced Annual Required Inspection for the preschool license. LPAs met with Director, Benita Luna, and toured the facility indoors and outdoors. Days and hours of operation are Monday to Friday, 6:30 AM – 5:30 PM.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible. All poisons are kept in a locked storage area.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and hand washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. All kitchen, food preparation and storage areas are clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have received a criminal record clearance or exemption. Upon notification from the Department, the licensee will comply and act immediately to terminate the employment of, remove from the facility or bar from entering the facility for any person it is deemed necessary while the Department considers granting or denying an exemption. Capacity and limitations as specified on the license are being maintained.

(Continued on 809-C)

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021

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: YOUNG WORLD	FACILITY NUMBER: 100402030
	VISIT DATE: 08/04/2021

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At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. LPAs observed six (6) authorized representative signatures missing for children from the facility’s sign in/out sheet. All children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care. LPAs reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPAs reviewed two (2) staff files that were missing a health screening report. All other paperwork for staff files were complete and contained health screening report, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them.

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. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPAs and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D) Licensee was provided a copy of their appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/04/2021 03:12 PM - It Cannot Be Edited

Created By: Jeovanna Yanez On 08/04/2021 at 02:15 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: YOUNG WORLD	FACILITY NUMBER: 100402030
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/04/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/18/2021 Section Cited CCR 101229.1(a)(1)&(b)	1 2 3 4 5 6 7	Sign in and sign out. (1) The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. (b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Director stated she will provide a letter to parents detailing the requirements of signing children in/out of the facility and provide a copy of this letter to CCL by the POC due date.
	8 9 10 11 12 13 14	LPA observation of sign in and sign out records. LPA observed six (6) authorized representatives of children who did not sign in and sign out a child on the correct date. This is a potential risk to the health, safety, or personal rights of children in care.	8 9 10 11 12 13 14
Type B 09/03/2021 Section Cited CCR101216(g)(1)	1 2 3 4 5 6 7	Personnel Requirements. (g) All personnel...shall be in good health and shall be physically.. capable of performing assigned tasks. (1) ...good physical health shall be verified by a health screening…performed by or under the supervision of a physician not more than one year prior to or seven days after employment or	1 2 3 4 5 6 7	Director stated she will have staff complete required health screening and provide documentation of this to CCL by the POC due date.
	8 9 10 11 12 13 14	licensure. This requirement was not met as evidenced by: LPA observation of two staff files that did not contain a LIC 503. This is a potential risk to the health, safety or personal rights of children in care.	8 9 10 11 12 13 14

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:

Diana deLeon

LICENSING EVALUATOR NAME:

Jeovanna Yanez

LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2021

LIC809 (FAS) - (06/04)

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