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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100403504
Report Date: 11/15/2021
Date Signed: 11/16/2021 06:30:18 PM

Document Has Been Signed on 11/16/2021 06:30 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:FIRST CHURCH OF GOD EARLY ENRICHMENT CENTERFACILITY NUMBER:
100403504
ADMINISTRATOR:ANTARAMIAN LISAFACILITY TYPE:
850
ADDRESS:3920 NORTH FIRST STREETTELEPHONE:
(559) 227-3222
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 72TOTAL ENROLLED CHILDREN: 22CENSUS: 18DATE:
11/15/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:TIME COMPLETED:
11:00 AM
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On 11/15/2021, Licensing Program Analysts (LPAs) Juvenal Moctezuma & Nancy Her conducted an announced Case Management inspection and met with Site Supervisor, Lisa Antaramian. LPAs explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located on 3920 N. First St in Fresno, CA. Lisa is requesting to decrease her preschool capacity to 51 preschool children. This program will operate year round from 6:30 AM to 6:00 PM Monday through Friday. This program will operate in Preschool classrooms # 4, #5, #6, & #12.

Breakfast, lunch, & a PM snack will be provided by the center. Lisa stated that the food is prepped in the kitchen and children go into the cafeteria to eat their food. The cafeteria is also going to be used by school age children so Lisa stated that they will be staggering their eating schedule so children are not commingled and there is enough time to sanitize the cafeteria. Lisa stated that the church has a janitor that cleans the classrooms during after hours. The cleaning supplies will be stored underneath the children's sink in each classroom or be kept in locked cabinets. LPAs observed disinfecting solutions & hand sanitizers to be out during the inspection. Lisa removed the items and stored them in areas that are inaccessible to children. The cabinets have a lock in place to prevent children from having access.

The cafeteria was observed to have plenty of tables & chairs. Lisa stated that there is always a staff inside the kitchen and children are never allowed to go inside without adult supervision. There is a refrigerator, microwave and hot running water in the kitchen along with more cleaning supplies. Staff will utilize the staff bathroom located next to the Site supervisors office which will remain closed and inaccessible to children at all times. Ill children will be isolated in the site supervisors office and use the staff bathroom.

The classrooms were observed to be free of toxins. LPA observed that the furniture and equipment appeared to be in good condition. LPA observed the paint to be chipping from the classroom walls and reminded Lisa to repaint the classroom. LPA reminded Lisa to not store anything on top of the children's cubbies or tall bookcases that could potentially fall on the children. Lisa understood. LPA observed a working carbon monoxide inside the center.

Report Continued Onto LIC 809-C

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: FIRST CHURCH OF GOD EARLY ENRICHMENT CENTER
FACILITY NUMBER: 100403504
VISIT DATE: 11/15/2021
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Lisa stated that teachers conduct wellness checks every morning during drop off and take the children's and staffs temperatures before entering the classroom. LPAs also notified Lisa that all staff entering the licensed areas that children use need to be fingerprint cleared. Public should not have any access to enter the licensed areas or use the staff bathroom that are for preschool staff. LPAs notified Lisa that the maverick staff needs to be fingerprint cleared since they have access to the playground area and staff bathrooms.

Room measurements were taken and reviewed with Lisa. The total inside preschool area measured to an approximate 1,803 square feet which will accommodate 51 preschool children. Lisa will amend her application and submit the decrease of capacity packet. There is adequate storage space available for children's belongings in every classroom. Lisa will submit proof that there are enough tables, chairs, & cots for the 51 Preschool capacity. The cots will be stored in the closet in between classroom #4 & #5. Lisa stated that quiet play time will be available for non-sleepers. Lisa understand that additional staff will be required.

Toys and equipment appear to be age appropriate. Lisa stated that bedding/sheets get sent home to parents to get washed every week on Friday or whenever necessary. There are a total of 7 toilets and 8 sinks/hand washing fixtures which will accommodate the newly requested capacity of 51 preschool children. Lisa stated that each classroom will have a water igloo with disposable cups to be used for drinking water. A water jug will be used for the outdoor play area.

The approximate outside square footage for the preschool area is 3,375 which will only accommodate 45 preschool children at a time. Lisa stated that she will stagger the children into two sessions and understands that no more than 45 preschool children will be outside at a time. Lisa understood. A waiver will be submitted an pending approval. The preschool play area has a play structure that is being remodeled and has yellow caution tape around it. There is a shade structure, has grass, bike path, and more toys for children to play with. There is a shed that can be used to store chidlrens play equipment. LPA reminded applicant to provide adequate supervision at all times.

A fire clearance for 128 children was received and granted by the Fresno Fire Department on 10/20/2021. An amended fire clearance will be required to meet the newly overall requested capacity of 101 children.

Report Continued Onto LIC 809-C

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
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: FIRST CHURCH OF GOD EARLY ENRICHMENT CENTER
FACILITY NUMBER: 100403504
VISIT DATE: 11/15/2021
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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 12/01/2021.

Preschool

  • Repaint classrooms since paint is chipping off.
  • Make cleaning supplies inaccessible to children.
  • Get outlet covers
  • Submit proof of 51 cots that are at least 3/4 inch thick.
  • Get more tables & Chairs to meet the newly requested capacity of 51 preschool children.
  • Fix Light in the jack & Jill bathroom between classroom #4 & #5.
  • Classroom #5 closet needs a door knob
  • Get igloo/pitcher for all classrooms so children have water readily available to them along with disposable cups & cup dispensers.
  • Anchor all cubbies and tall book cases to prevent any injuries.
  • Classroom #6 water fountain is leaking. Please fix.
  • Classroom #6 replace paper towel dispenser.
  • Classroom #12 needs 2 window screens.
  • Licensee needs to make sure the gate leading to the maverick classrooms is closed at all times.
  • Close area between the shed and the boys bathroom since there are wooden scraps.
  • Repair Urinal in boys restroom.
  • Get bolt covers in children's bathrooms
  • Repaint or replace stall walls in children's bathrooms since rust is showing.
  • Please fix the towel dispenser in the boys bathroom since it appears to not be mounted correctly.
  • Fix water fountain out in the children's play area or submit proof that children have water readily available when playing outside.
  • Repaint all metal structures in the children play area since rust is showing - metal dome, metal hoops, metal tubes, etc.

Report Continued Onto LIC 809-C
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
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: FIRST CHURCH OF GOD EARLY ENRICHMENT CENTER
FACILITY NUMBER: 100403504
VISIT DATE: 11/15/2021
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  • Replace and add pole cushioning around the shade structure poles.
  • Submit plans on when the church plans to update the children's bathrooms.
  • Get amended fire clearance & Additional licensing documents.


Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 51 preschool children.

The following documents should be posted at the facility:

* PUB 269- Child passenger restraint systems poster 101225(f) Transportation


* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule
* Lead Poisoning brochure

No deficiencies cited during today's visit.
A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC809 (FAS) - (06/04)
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