100407075-1-16-2024-04-CC-MDHO-CZJT9L-20240116133208

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100407075
Report Date: 01/16/2024
Date Signed: 01/16/2024 01:32:23 PM

Document Has Been Signed on 01/16/2024 01:32 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:	WESTSIDE ELEMENTARY SCHOOL		FACILITY NUMBER:	100407075
ADMINISTRATOR:	HERNANDEZ, BALDOMERO		FACILITY TYPE:	850
ADDRESS:	19191 EXCELSIOR		TELEPHONE:	(559) 884-2492
CITY:	FIVE POINTS	STATE: CA	ZIP CODE:	93624
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 45	CENSUS: 12	DATE:	01/16/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Caroline Avita, Estela Valdez		TIME COMPLETED:	01:45 PM

NARRATIVE

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On 01/16/24, Licensing Program Analyst (LPA) Martha De Haro, conducted an unannounced Annual Required Inspection for the preschool license. LPA met with lead teachers Caroline Avitia and Estela Valdez. LPA toured the facility indoors and outdoors. This facility operates on a traditional school year schedule. The preschool consists of two classrooms. Days and hours of operation are Monday through Friday from 8 am to 3 pm. LPA confirmed the phone number to the facility as 559-884-2492. The facility serves breakfast, lunch, and snacks. Meals are prepared at the main school’s cafeteria.

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. No poisons were observed during the inspection.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Playground equipment is in safe condition. One playground fixture was in need of repair and facility representative agreed to have facilities repair the fixture. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing 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. LPA was able to verify that fire drills are being completed at least once every 6 months.

(Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

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 01/16/2024 01:32 PM - It Cannot Be Edited

Created By: Martha DeHaro On 01/16/2024 at 12:11 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: WESTSIDE ELEMENTARY SCHOOL	FACILITY NUMBER: 100407075
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/16/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. During record review, Licensing Program Analyst (LPA) spoke with facility representative who stated that he was unsure if the facility was tested for lead. Facility Representative stated that the children do not drink from the drinking fountains and only drink from bottled water.
	POC Due Date: 02/16/2024
	Plan of Correction
1 2 3 4	Facility representative to have all water outlets (used for drinking or cooking) tested for lead and to submit proof via email to the Community Care Licensing Office by the Plan of Correction Due date, 02/16/2024.

Type B

Section Cited

CCR

101239(o)(1)

Fixtures, Furniture, Equipment and Supplies

(o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. During the outdoor inspection, LPA observed that a playground fixture (jeep with rubber tires) had exposed metal wires around the back tire. LPA also observed that the tire from the playground fixture was unscrewing from the frame and was very loose.
	POC Due Date: 02/02/2024
	Plan of Correction
1 2 3 4	Facilty representative agreed to request that facilities replace the tire from the fixture or remove it altogether and submit proof via photos to the Community Care Licensing Office by the Plan of Correction Due date, 02/02/2024.

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:

Cynthia Brannon

LICENSING EVALUATOR NAME:

Martha DeHaro

LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

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: WESTSIDE ELEMENTARY SCHOOL	FACILITY NUMBER: 100407075
	VISIT DATE: 01/16/2024

NARRATIVE

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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA was unable to verify that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE. Facility representative to test all fixtures for lead, which are used for drinking and cooking.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Capacity and limitations as specified on the license are being maintained. 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. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. 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. LPA reviewed a sample of children’s files and observed that the files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed files were mostly complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Staff agreed to ensure that their files are updated with any missing forms. Menus are posted at least one week in advance where an authorized representative can view them.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

(Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

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: WESTSIDE ELEMENTARY SCHOOL	FACILITY NUMBER: 100407075
	VISIT DATE: 01/16/2024

NARRATIVE

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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.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies were cited during today’s inspection (See LIC 809-D).

Exit interview conducted and report was reviewed with teachers Estela Valdez and Caroline Avitia.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were also given.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

LIC809 (FAS) - (06/04)

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