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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100407359
Report Date: 08/24/2023
Date Signed: 08/24/2023 01:01:21 PM

Document Has Been Signed on 08/24/2023 01:01 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILD DEVELOPMENT-STATE PS-TEMPERANCE-KUTNERFACILITY NUMBER:
100407359
ADMINISTRATOR:BLACKBURN, KATHYFACILITY TYPE:
850
ADDRESS:1448 N. ARMSTRONGTELEPHONE:
(559) 456-2081
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/24/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Tara Logan - Preschool CoordinatorTIME COMPLETED:
10:00 AM
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On 8/24/23, Licensing Program Analyst (LPA) Joseph Pacheco conducted an announced Case Management inspection and met with Clovis Unified School District Preschool Coordinator, Tara Logan. Facility was closed and no children were present during today’s inspection. LPA toured the inside of the facility. The licensee is currently licensed for 24 preschool children and is requesting to utilize a brand new portable classroom for its indoor activity area which is in the exact same location of the previous portable that was torn down. This program currently operates two half day sessions Monday – Friday on a traditional school year schedule. AM session is 8:00 AM to 11:00 AM. PM session is from 11:30 AM to 2:30 PM. Preschool Coordinator stated that the program offers breakfast for the AM session and lunch for the PM session. Food is prepared offsite at a centralized kitchen and delivered daily. Ill children will be isolated in the calming area of the classroom and will utilize the bathroom in the nurse’s office in the administration building. Cleaning supplies are kept in locked storage closets which are inaccessible to children.
The classroom was observed to be clean and free of toxins. LPA observed that the furniture and equipment in the classroom appeared to be safe and in good condition. The classroom has a working carbon monoxide detector installed next to the handwashing sinks in the classroom. LPA observed that there are plenty of tables and chairs, and cribs. LPA observed plenty of age appropriate items & toys.
Room measurements in classroom was taken and reviewed with Preschool Coordinator. The total inside preschool area of the classroom measured to an approximate 1,165 square feet which will accommodate the licensed capacity of 24 preschool children. There are a total of 2 toilets and 4 sinks/hand washing fixtures which will accommodate 24 preschool children. Facility currently has a waiver on file to share a bathroom located near the classroom with lower grade elementary school children. Because the new classroom has enough toilets and sinks to accommodate the licensed capacity, the waiver will no longer be needed. Facility uses water fountains to provide water during outdoor activities. The outdoor activity area was not measured as there have been no changes to the preschool children’s outdoor area. LPA reminded Preschool Coordinator to make sure they maintain visual supervision of children at all times.
CONTINUED ON LIC809-C
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CHILD DEVELOPMENT-STATE PS-TEMPERANCE-KUTNER
FACILITY NUMBER: 100407359
VISIT DATE: 08/24/2023
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A fire clearance for the above classroom for 24 preschool children was received and granted by the City of Fresno Fire Department on 8/22/23.

The following items must be completed prior to issuing a license for the above classroom.

Intside Daycare:
1) Anchor all tall furniture to prevent from tipping over.
2) Install door alarms on each door.

Pending a final file review and completion of the above items, a recommendation will be made to license the above classroom for a capacity of 24 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

Preschool Coordinator was informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.
To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Preschool Coordinator, Tara Logan.

A copy of this report is to remain in the facility for public review. A notice of site visit was given to Preschool Coordinator and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023
LIC809 (FAS) - (06/04)
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