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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155601022
Report Date: 08/15/2024
Date Signed: 08/15/2024 11:54:57 AM

Document Has Been Signed on 08/15/2024 11:54 AM - 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:CHAMP CAMPFACILITY NUMBER:
155601022
ADMINISTRATOR/
DIRECTOR:
FERGUSON, DECONDIAFACILITY TYPE:
860
ADDRESS:1600 E TRUXTUN AVETELEPHONE:
(661) 324-0984
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93305
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/15/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:DeCondia FergusonTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On 08/15/2024, Licensing Program Analyst (LPA), Nancy Her conducted an announced Pre-Licensing inspection for a new license. Upon arrival, LPA met with Facility Representative DeCondia Ferguson. Applicant is requesting to be licensed for 24 school-age children ages TK-12 years in the school age classroom. Hours of operation will be Monday through Friday 1:30 pm to 5:00 pm.

All indoor and outdoor activity space utilized for the children was inspected today. LPA informed DeCondia Ferguson that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. When medications are on site, DeCondia Ferguson stated that they will be in the office. A fully equipped first aid kit is in the office. There is an operational carbon monoxide detector on site located on the ceiling. All required licensing documents were observed posted on the parents board. Children will be signed in and out outside the classroom.

LPA continued to tour the facility and measured all indoor and outdoor activity space. Total indoor activity space measured 858 square feet which is sufficient to accommodate the requested capacity of 24 Children. LPA observed all indoor activity space to be complete with safe age-appropriate furniture and equipment, including tables, chairs, bookshelves, and other activity supplies for the children. This facility does not have cubbies. The children are housed next door to the facility and do not come the the facility with any personal belongings. Facility has some hooks next to the door in the event that a child brings belongings. Drinking water is available in the classrooms via a water dispenser and disposable cups. LPA observed all hazardous items to be inaccessible to children. There are no bodies of water or weapons on the property. Fire clearance was granted on 07/31/2024 by CalFire.

LPA observed a total of 2 sinks and a total of 2 Toilets available for children’s use. These are sufficient to accommodate the requested capacity of 24 children. Restrooms afford privacy for children. There is a separate staff restroom equipped with a toilet and a sink. The isolation area for children who are ill will be in the office.

Facility will provide snacks. Food was observed to be properly stored separate from cleaning materials.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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: CHAMP CAMP
FACILITY NUMBER: 155601022
VISIT DATE: 08/15/2024
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The facility currently has a fully fenced playground area which is separate from other components. Fencing is at least four feet high. The total square footage for all the outdoor activity space is 2340 square feet, which is sufficient to accommodate the requested capacity. Shade is provided via trees. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a climbing structure on the playground for children ages 2-12 years which is properly anchored. There is adequate cushioning in fall zones of climber provided by wood chips. Drinking water is available via igloo and disposable cups. LPA observed all hazardous items on the playground to be inaccessible to children. The facility will be sharing the playground with the shelter. A waiver request will be submitted. Applicant DeCondia Ferguson was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

Facility representative 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, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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) or (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

LPA reviewed with facility representative the LIC 311A, Records to Be Maintained at The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

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

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

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
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: CHAMP CAMP
FACILITY NUMBER: 155601022
VISIT DATE: 08/15/2024
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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 platforms. 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 corrections are needed prior to the issuance of the license:

Waiver request for sharing outdoor play area and outdoor play schedule

Updated paperwork

Facility Representative DeCondia Ferguson understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Exit interview conducted and report was reviewed with the facility representative DeCondia Ferguson.

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

DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2024
LIC809 (FAS) - (06/04)
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