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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810063
Report Date: 10/05/2023
Date Signed: 10/05/2023 01:38:36 PM

Document Has Been Signed on 10/05/2023 01:38 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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:NORTH MAPLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153810063
ADMINISTRATOR:RUIZ, CYNTHIAFACILITY TYPE:
850
ADDRESS:650 N MAPLE AVETELEPHONE:
(661) 636-4760
CITY:WASCOSTATE: CAZIP CODE:
93280
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: DATE:
10/05/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Hilda RamosTIME COMPLETED:
01:45 PM
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On 10/05/2023 an unannounced case management inspection for a capacity decrease of the preschool program and an addition of the toddler option program was conducted by LPA Nancy Her. LPA met with Preschool Director, Hilda Ramos. The facility is located at 650 N. Maple Avenue in Wasco, CA 93280. The licensee is requesting a capacity of 72 children for the preschool program and 16 toddler option children. This program will operate year-round, Monday thru Friday 7:30 AM to 05:30 PM. There will be two full day preschool classes, one half day preschool class, and one full day toddler option class. The half day class will operate from 8:30 AM to 11:30 AM and from 12:30 PM to 3:30 PM. Breakfast, lunch, and snack will be provided by the facility and prepared off site. There is a sink with hot water inside the kitchen, to use for food preparation. Ill children will use a designated restroom, and there is a separate isolation area for them near the office. Staff will use the bathroom in the hallway.

Room measurements were taken and reviewed with Ms. Ramos. There are 3 classrooms that will be used by preschool children. The total inside preschool area is 2808 square feet which will accommodate the requested capacity. There is one classroom that will be used for the toddler option program. The total inside toddler option classroom area is 936 square feet which will accommodate the requested capacity. There is adequate storage space available and are age appropriate.

Outdoor measurements were taken on this date and total 9,296 square feet which will accommodate the requested capacity. Adequate shade is available in the outdoor activity area with trees, a building with an overhang, and a shade structure in the grass area. The licensee is using wood chips for cushioning under the outdoor climbing structure. Outdoor storage is available for toys and equipment, and toys and equipment are age appropriate.

There are 12 toilets and 18 sinks/hand washing fixtures in the children's bathrooms which will accommodate the requested capacity. There is a drinking water fountain in each classroom and outside for children to use. The fire clearance was received on 09/15/2023 by Kern County Fire Prevention and approved for the requested capacity.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE: DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/05/2023
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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: NORTH MAPLE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153810063
VISIT DATE: 10/05/2023
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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

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA reviewed with Director Hilda Ramos, 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 101390(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: Deborah Lowe
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: NORTH MAPLE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153810063
VISIT DATE: 10/05/2023
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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.

The following will need to be reviewed and processed before licensure:

· Waiver for sharing of the outdoor play area between the toddler option program and the preschool program

Pending a final file review, a recommendation will be made to license the above facility for the requested capacity of 72 preschool children and 16 toddler option children.

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

Exit interview conducted and report was reviewed with the facility representative Hilda Ramos.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE:

DATE: 10/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2023
LIC809 (FAS) - (06/04)
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