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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810191
Report Date: 09/19/2022
Date Signed: 09/19/2022 01:48:51 PM


Document Has Been Signed on 09/19/2022 01:48 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:CAL IVY PREP AT CSUBFACILITY NUMBER:
153810191
ADMINISTRATOR:MILLER, AMYFACILITY TYPE:
830
ADDRESS:9001 STOCKDALE HWYTELEPHONE:
(661) 654-3165
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:18CENSUS: 0DATE:
09/19/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Amy Miller, DirectorTIME COMPLETED:
02:00 PM
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On 09/19/2022, Licensing Program Analyst (LPA) Pete Espinoza conducted an announced prelicensing inspection and met with Amy Miller, Director. A tour of the center was conducted both inside and outside. The center is located at on the Campus of California State University, Bakersfield located at 9001 Stockdale Hwy in Bakersfield 93311. Infant children will occupy Room 3. This is a new facility and the applicant is requesting a total capacity of 18 Infant children ages 0 to 24 months including eight (8) crib babies. The program will operate; year-round, Monday - Friday 7:00 AM - 6:00 PM. Children will be escorted by parents directly to classroom.
Director stated that parents who provide formula and pre-made bottles for the younger infants will be stored in refrigerator. When the infant is older and is not eating baby food, the center will provide a morning snack and afternoon snack. Lunch will be provided by parents. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Staff will utilize the staff bathroom located on north side of Office. Ill children will be isolated in the Directors office and utilize the staff bathroom.
Furniture and equipment are in good condition, free of sharp, loose or pointed parts. Floors in the facility are clean and safe. The facility is free of flies, insects and rodents. There is a working carbon monoxide detector. The facility has sufficient age appropriate furniture, and equipment including cribs, cots or mats, changing tables and feeding chairs.
Room measurements were taken and reviewed with Director. The total inside Infant area is approximately 711 square feet which will accommodate the requested capacity of 18 infant children. There is adequate storage space available for children's belongings in the classroom. Toys and equipment appear to be age appropriate. Infant classroom has a changing table and a sink within arm’s reach that will be available to children for handwashing if, needed. Director submitted request for waiver to share restrooms with Toddler Option. There is a total of 4 toilets and 2 sinks/hand washing fixtures in the Toddler Option restroom which will accommodate the requested capacity of 18 Infant children. Staff will provide pitcher of water in each classroom to have water readily available to children.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: (661) 644-8231
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2022
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: CAL IVY PREP AT CSUB
FACILITY NUMBER: 153810191
VISIT DATE: 09/19/2022
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Director submitted request for waiver to share playground with Toddler Option. The approximate outside square footage for the Toddler Option playground is 834 square feet, which will accommodate requested capacity of 18 Infant Children. The playground is fenced and gated all around. LPA observed age appropriate toys and little tykes play structure. There is a large patio cover to provide shade where children can rest and get water. LPA reminded Director to provide adequate supervision at all times and to not commingle Infant children with children enrolled in Toddler Option.
A fire clearance of 97 children that includes 54 Preschool children ages 2-6 with a Toddler Option of 25 children, ages 18 months to 36 month and 18 Infant children ages 0-2 was approved & granted by the City of Bakersfield Fire Department on 05/26/2022.
This facility does plan to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS must be submitted to the Department. 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
Name was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.
LPA also informed title, name, of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for the requested capacity of 18 Infant.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: (661) 644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022
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: CAL IVY PREP AT CSUB
FACILITY NUMBER: 153810191
VISIT DATE: 09/19/2022
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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.

Exit interview conducted and report was reviewed with Amy Miller, Director.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: (661) 644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3