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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808986
Report Date: 10/24/2022
Date Signed: 10/24/2022 03:12:47 PM

Document Has Been Signed on 10/24/2022 03:12 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LINCOLN STATE PRESCHOOLFACILITY NUMBER:
103808986
ADMINISTRATOR:MEGAN TUPPERFACILITY TYPE:
850
ADDRESS:374 E NORTH AVETELEPHONE:
(559) 350-7240
CITY:REEDLEYSTATE: CAZIP CODE:
93654
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 7DATE:
10/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Sandra RamosTIME COMPLETED:
03:20 PM
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On 10/24/2022, An unannounced Annual Random visit was conducted today by Licensing Program Analyst (LPA) Jose Penate. LPA met with Teacher, Sandra Ramos and toured the facility, both indoors and outdoors. This facility runs Monday thru Friday morning and afternoon session; morning session from 8:00AM-11:00AM and afternoon session from 12:00PM to 3:00PM. Breakfast and lunch are delivered from Lincoln Preschool, and meals are prepared on site.

There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed during today’s visit. All materials and surfaces accessible to children are toxic free. All toilets, hand washing, and bathing facilities are in safe and sanitary operating conditions. Classroom #18 accommodates the preschool age children. The bathrooms are located in the classroom and are separated by a wooden partition. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. Menus are posted at least one week in advance, where an authorized representative can view them. All food is protected from contamination, and contaminated food is discarded immediately. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, and are in good repair.

Continued on LIC 809-C

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2022
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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LINCOLN STATE PRESCHOOL
FACILITY NUMBER: 103808986
VISIT DATE: 10/24/2022
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Uncontaminated drinking water is available both indoors and outdoors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Areas around high climbing equipment and slides have cushioning material to absorb falls.

Incidental Medical Services (IMS) is currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. 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, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Teacher, Sandra Ramos.



A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2022
LIC809 (FAS) - (06/04)
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