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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810134
Report Date: 08/15/2023
Date Signed: 08/15/2023 12:00:54 PM

Document Has Been Signed on 08/15/2023 12:00 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:WASHINGTON PRESCHOOLFACILITY NUMBER:
103810134
ADMINISTRATOR:BARKOWSKY, TIFFANYFACILITY TYPE:
850
ADDRESS:1568 WILLIAMS STTELEPHONE:
(559) 897-6989
CITY:KINGSBURGSTATE: CAZIP CODE:
93631
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 0DATE:
08/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Tiffany BarkowskyTIME COMPLETED:
12:15 PM
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On 08/15/2023, Licensing Program Analysts (LPA) Nancy Her and Claribel Soto conducted an unannounced case management inspection and met with Center Director, Tiffany Barkowski. LPAs reviewed the reason of the inspection and a tour of the center was conducted both inside and outside. This is an increase of capacity application and applicant is requesting 48 preschool age children ages 2-6. This program will operate on a traditional school year from 08:00 AM to 11:15 AM & from 11:45 AM to 3:00 PM Monday through Friday. This program will operate in classrooms labeled #C and #B. 2 snacks will be provided since the program is only half day. Applicant is aware to contact the Fresno Community Care Licensing for a change in classrooms and/or change in capacity.

Assembly Bill 2370, Chapter 676, Statutes of 2018 requires all Child Care Centers (CCCs) that are located in buildings constructed before January 1, 2010 to test their drinking water for lead contamination by January 1, 2023 and every 5 years thereafter. This facility is unsure as to when the building was constructed. Center Director is going to follow up.

The classroom was observed to be clean and free of toxins. LPA observed that the furniture and equipment appeared to be safe and in good condition. The shelving units are anchored to prevent tipping onto children in care. There are enough tables, cubbies, chairs, and plenty of toys for children to play. LPA also reminded Center Director to not store anything on top of high bookcases that could potentially fall on children. There are working combination smoke detectors and carbon monoxide detectors in classrooms, located on the ceiling.

LPA reviewed with Center Director, Tiffany Barkowski, that any future changes to the classrooms are required to ensure that furniture does not tip over on to children, the furniture are to be anchored or situated that tipping does not occur. Classroom changes of furniture shall be situated that 100% visual supervision is always provided to children in care. There is a restroom in the classroom B with two toilets and two sinks. There is a restroom in Classroom C with two toilets and one sink.

Room measurements were taken and reviewed with Center Director, Tiffany Barkowski. The total inside preschool area measured to an approximate 1680 square feet which will accommodate the requested capacity of 48 preschool children at a time. There is adequate storage space available for children's belongings in the classroom. Center Director understands that children's equipment needs to match the capacity she is licensed for. Toys and equipment appear to be age appropriate. There is a total of 4 toilets and 5 sinks/hand washing fixtures which will accommodate the requested capacity of 48 preschool children.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2023
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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: WASHINGTON PRESCHOOL
FACILITY NUMBER: 103810134
VISIT DATE: 08/15/2023
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The approximate outside square footage for the preschool area is 21,418 which will accommodate the requested capacity of 48 Preschool Children. Licensee will share the playground and garden area with Washington Early Intervention preschool program and the Elementary Transitional Kindergarten Program. There is currently a waiver in place. There is shade available where children can rest and get water. LPA reminded Center Director, Tiffany Barkowski, to provide adequate supervision at all times.

The fire clearance of 48 consisting of 48 preschool children was received on 07/31/2023. Fire clearance was approved by Kingsburg Fire Department Fire Prevention.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Pending a final file review, a recommendation will be made to license the above facility for the requested capacity of 48 preschool children.

LPA reviewed with Center Director, Tiffany Barkowski, the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023
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: WASHINGTON PRESCHOOL
FACILITY NUMBER: 103810134
VISIT DATE: 08/15/2023
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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 platform. 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.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies were cited today. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023
LIC809 (FAS) - (06/04)
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