103808932-6-27-2023-04-CC-PZAO-CT7U43-20230627151428

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808932
Report Date: 06/27/2023
Date Signed: 06/27/2023 03:14:33 PM

Document Has Been Signed on 06/27/2023 03:14 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:	KIDZ CAN 2		FACILITY NUMBER:	103808932
ADMINISTRATOR:	SANDRA RIVERA		FACILITY TYPE:	840
ADDRESS:	130 NORTH U STREET		TELEPHONE:	(559) 492-2907
CITY:	FRESNO	STATE: CA	ZIP CODE:	93701
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 12	CENSUS: 12	DATE:	06/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Alyssa Ybarra		TIME COMPLETED:	03:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 06/27/23, Licensing Program Analyst (LPA) Priscilla Zamudio conducted an unannounced annual inspection for the school age license. LPA met with Office Manager, Alyssa Ybarra and toured the facility indoors and outdoors. Days and hours of operation are Monday – Friday, 6:00am-6:30pm. LPA verified the facility phone number is (559) 492-2907. 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. The childcare center was clean, safe, sanitary and in good repair. 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. All toilets, hand washing, and bathing facilities are in safe and sanitary operating condition. All floors are clean and safe. All food preparation and storage areas are kept clean, free of litter, rubbish, rodents, and other vermin. Uncontaminated drinking water is readily available both indoors and out. Menus are posted at least one week in advance where an authorized representative can view them. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Outdoor activity space surfaces are free of hazards. The areas around or under high climbing equipment, swings, slides and similar equipment are cushioned with sand that absorbs a fall. The facility maintains compliance with staff-child ratios. (Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023

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

FACILITY NAME: KIDZ CAN 2	FACILITY NUMBER: 103808932
	VISIT DATE: 06/27/2023

NARRATIVE

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There is a separate, complete, and current record maintained for each child enrolled in the childcare center. Each child's record contains a medical assessment. Staff files are complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training.

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. 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. The licensee shall not exceed the approved capacity of the fire clearance for the facility.
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 off-site activities. Children are under supervision, including visual supervision, of a teacher at all times. 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.

Incidental Medical Services (IMS) are currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if facility provides these services. The following information regarding Americans with Disability Act (ADA) was provided: US Department of Justice toll free ADA Information line at (800) 514-0301(voice) and (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm for Commonly Asked Questions about Child Care Centers and the ADA.

LPA Zamudio and Office Manager discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiencies were cited.

Exit interview was conducted with Alyssa Ybarra. LPA Zamudio provided her with a copy of the Facility Evaluation Report (LIC 809), appeal rights and the Notice of Site Visit form (LIC 9213). The LIC 809 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:	DATE: 06/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2023

LIC809 (FAS) - (06/04)

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