100405479-12-18-2024-04-CC-BTAE-DC3VHG-20241218152707

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100405479
Report Date: 12/18/2024
Date Signed: 12/18/2024 03:27:18 PM

Document Has Been Signed on 12/18/2024 03:27 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	BIG CREEK ELEMENTARY SCHOOL		FACILITY NUMBER:	100405479
ADMINISTRATOR/ DIRECTOR:	ANNA JONES		FACILITY TYPE:	850
ADDRESS:	55190 POINT ROAD		TELEPHONE:	(559) 893-3314
CITY:	BIG CREEK	STATE: CA	ZIP CODE:	93605
CAPACITY: 15	TOTAL ENROLLED CHILDREN: 3	CENSUS: 3	DATE:	12/18/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Anna Jones		TIME VISIT/ INSPECTION COMPLETED:	03:35 PM

NARRATIVE

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On 12/18/2024 at approximately 1000 hours, Licensing Program Analyst (LPA) Brandon Tate, conducted a Random Annual Inspection. Upon arrival, LPA Tate was met with Superintendent Jimmie Eggers. LPA Tate introduced himself and stated the reason for the visit. LPA Tate was accompanied by Superintendent Eggers on a tour of the facility. LPA Tate was informed that children were currently in the gymnasium practicing a Christmas Play. LPA Tate asked to see the children and a census of 3 children in care was taken during today’s visit.

LPA Tate then conducted the inspection of the outdoor play area. There is an active shared outdoor area waiver on file for this facility. LPA Tate did not observe any preschool children commingling on the outdoor activity space and Superintendent Eggers stated that there are differing schedules to avoid commingling with the school aged children. LPA Tate observed age-appropriate toys and no sharp or broken objects were present within the outdoor play area. Preschool children do not utilize the outdoor play structures due to the manufacture instructions on age requirements. There is drinking water available to children outside. LPA Tate observed large holes within the sandbox. LPA Tate discussed with Superintendent Eggers that this poses a potential threat to the health and safety of children in care. Superintendent Eggers and LPA Tate discussed possible solutions to this, and an immediate solution was obtained; Superintendent Eggers spoke with his maintenance staff and the holes were immediately filled.

There is an in-ground swimming pool that is fenced per regulation to make it inaccessible. The pool gate is self-latching, self-closing and opens away from the swimming pool. Superintendent Eggers stated that the swimming pool is not used for preschool children.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024

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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Document Has Been Signed on 12/18/2024 03:27 PM - It Cannot Be Edited

Created By: Brandon Tate On 12/18/2024 at 02:24 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: BIG CREEK ELEMENTARY SCHOOL	FACILITY NUMBER: 100405479
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview conducted and records reviewed, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/01/2025
	Plan of Correction
1 2 3 4	Licensee stated she will take the required training that adheres to AB1207 and send the completed training certificate to LPA Tate via email or text by the POC due date.

Type B

Section Cited

CCR

101221(b)(8)(C)

Child's Records

(C) A signed consent form for emergency medical treatment unless the child's authorized representative has signed the statement specified in Section 101220(f). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in all 3 enrolled children's files which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/01/2025
	Plan of Correction
1 2 3 4	Licensee stated she will have parents fill out an LIC627 form by the posted POC date and send completed documentation to LPA Tate via email or text. Licensee also stated she will add this form to the office files for new enrollment to avoid the same citations in the future.

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:

Juvenal Moctezuma

LICENSING EVALUATOR NAME:

Brandon Tate

LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BIG CREEK ELEMENTARY SCHOOL	FACILITY NUMBER: 100405479
	VISIT DATE: 12/18/2024

NARRATIVE

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Upon entrance to the classroom LPA Tate was introduced with Director Anna Jones and continued the inspection with her. LPA Tate observed age-appropriate toys. The indoor activity space is clean and free of any hazards to children in care. LPA observed the sign-in and sign-out form to be filled out correctly per California Code of Regulations. The Parent board had all necessary forms readily viewable in a prominent location next to the entrance. There is adequate cubby space for children’s belongings. There is drinking water available to children within the classroom as well as handwashing water that is within temperature regulation. All cleaning solutions and compounds are kept in a locked closet outside of the classroom. No poisons were observed during today’s inspection. The classroom contains a working carbon monoxide detector and fire extinguisher. Fire drills are conducted every 6 months and logged within the school office.

There is a waiver for the Use of Children’s Bathrooms on file. Staff ensure that preschool children have priority use of the restroom and check to make sure that no other school aged children are present when preschool children are using the restroom. 100% supervision is being maintained and preschool are being escorted to and from the bathroom. All toilets and handwashing facilities are in safe and sanitary operating condition. There are adequate toilet and sink ratios for children in care. Solid waste storage containers have tight-fitting covers and are in good repair. LPA Tate did not observe any hazards to children in care within the shared restrooms.

LPA Tate reviewed all children’s files, and they were all complete with necessary forms except LIC 627. All 3 enrolled children were missing LIC 627 from their files and this poses a potential threat to the health, safety, and personal rights of children in care. LPA Tate also reviewed staff files. All staff files were complete with necessary documentation within. However, upon record review it was observed by LPA Tate that Licensee Jones did not have current Mandated Reporter Training that adheres to AB1207. This poses a potential threat to the health, safety, and personal rights of children in care.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024

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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BIG CREEK ELEMENTARY SCHOOL	FACILITY NUMBER: 100405479
	VISIT DATE: 12/18/2024

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Licensee was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D) Appeal rights were given.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director Anna Jones

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:	DATE: 12/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2024

LIC809 (FAS) - (06/04)

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