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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808916
Report Date: 08/13/2021
Date Signed: 08/13/2021 01:22:36 PM

Document Has Been Signed on 08/13/2021 01:22 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:EDUCARE EARLY STARS PRESCHOOLFACILITY NUMBER:
103808916
ADMINISTRATOR:BLANCAS, MARIAFACILITY TYPE:
850
ADDRESS:5202 N. BLYTHETELEPHONE:
(559) 271-7827
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY: 96TOTAL ENROLLED CHILDREN: 0CENSUS: 22DATE:
08/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Angelica ArroyoTIME COMPLETED:
01:30 PM
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On 08/13/2021, Licensing Program Analysts (LPAs) Jeovanna Yanez and Angelica Slaughter, conducted an unannounced Annual Required Inspection for the preschool license. LPAs met with Program Director, Angelica Arroyo and toured the facility indoors and outdoors. Days and hours of operation are Monday to Friday, 7:30 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. 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, 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. LPAs observed cobwebs throughout the outdoor garden and gazebo area. 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 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. All staff were fingerprint cleared and associated to the facility, with the exception of Staff #5 who is fingerprint cleared but needs to be associated to the facility. 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: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2021
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: EDUCARE EARLY STARS PRESCHOOL
FACILITY NUMBER: 103808916
VISIT DATE: 08/13/2021
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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 off site 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. 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 a sample of staff files and observed files were complete with health screening and current documentation of completed mandated reporter training. LPAs observed all staff files did not contain documentation of flu vaccination or declination statement for the flu vaccination. Staff #5 also did not have proof of immunization against MMR. Menus are posted at least one week in advance where an authorized representative can view them.

Incidental Medical Services (IMS) are currently being provided. Facility has an IMS plan on file with CCL and it was received on 4/2/19. 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.



LPA 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, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, 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: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/13/2021 01:22 PM - It Cannot Be Edited


Created By: Jeovanna Yanez On 08/13/2021 at 11:44 AM
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: EDUCARE EARLY STARS PRESCHOOL
FACILITY NUMBER: 103808916

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/13/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/27/2021
Section Cited
HSC
1596.7995(d)

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Employees or volunteers at day care center; immunization requirements; records; exemptions (d) The day care center shall maintain documentation of the required immunizations or exemptions from immunization ... in the person’s personnel record ... maintained by the day care center.
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Program Director stated she will have staff get the flu vaccination or sign a declination statement and provide copies of documentation to CCL by POC due date.
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This requirement was not met as evidenced by records review of staff files. All staff files did not contain proof of vaccination or declination statement of the flu shot. This posses a potential risk to the health, safety and/or personal rights of children in care.
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Type B
08/20/2021
Section Cited
HSC101216(i)(2)

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Personnel Requirements (i) Prior to employment or initial presence in the child care center, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement was not met as evidenced by
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Program Director stated she will have Staff #5 associated to the facility and submit proof to CCL by POC due date.
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records review of staff files. LPA determined Staff #5 was cleared but had no association to the facility. This poses a potential risk to the health, safety, or personal rights of children in care. An immediate civil penalty of $100 was assessed.
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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: 08/13/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/13/2021


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