103810006-8-23-2021-04-CC-ROCA-C66UJY-20210823153819

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103810006
Report Date: 08/23/2021
Date Signed: 08/23/2021 03:38:31 PM

Document Has Been Signed on 08/23/2021 03:38 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:	FUSD-WAWONA		FACILITY NUMBER:	103810006
ADMINISTRATOR:	MADDEN, KATHERINE (KATY)		FACILITY TYPE:	850
ADDRESS:	4524 N THORNE		TELEPHONE:	(559) 457-3683
CITY:	FRESNO	STATE: CA	ZIP CODE:	93704
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 0	CENSUS: 9	DATE:	08/23/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Cynthia Espino		TIME COMPLETED:	03:55 PM

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On 8/23/2021, Licensing Program Analyst (LPA) Ruby Ocegueda, conducted an unannounced Annual Required Inspection for the preschool facility that is located inside Wawona Middle School. LPA met with Site Supervisor Cinthia Espino and toured the facility indoors and outdoors. This facility utilizes a restroom waiver and a playground waiver that were both approved by the Department. Days and hours of operation are Monday – Friday 8:00 AM – 11:00 AM and 12:00 PM – 3:00 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, lose or pointed parts. Playground equipment is in safe condition, free of sharp, lose or pointed parts. 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. There was some paper towels on the floor of the girls restroom today. Site Supervisor indicated she already requested that the bathroom check be completed at midday by the school janitorial staff as well. Floors in the classroom are clean and safe. Food is prepared off site and are brought to the school. Morning class families are offered breakfast meals that can be eaten in the outside picnic tables and a to go meal is offered for lunch at pick up. Snacks are provided in the classroom and were observed to be prepackaged and labeled. Food is protected against contamination and any contaminated food is discarded immediately. Drinking water is available both indoors and outdoors through an igloo water jug and cup dispenser. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. Report continued to 809-C.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

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: FUSD-WAWONA	FACILITY NUMBER: 103810006
	VISIT DATE: 08/23/2021

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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. 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. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. 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 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 complete with health screening, immunization records for pertussis and measles and current documentation of completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them.

Incidental Medical Services (IMS) are not 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

An exit interview was conducted with Site Supervisor Cinthia Espino. Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited today.

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: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2021

LIC809 (FAS) - (06/04)

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