203801809-7-15-2024-04-CC-SVGZ-D77T2Y-20240715142131

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203801809
Report Date: 07/15/2024
Date Signed: 07/15/2024 02:21:45 PM

Document Has Been Signed on 07/15/2024 02:21 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	MADERA CHILD DEVELOPMENT CENTER*		FACILITY NUMBER:	203801809
ADMINISTRATOR/ DIRECTOR:	GARCIA, RACHEL		FACILITY TYPE:	850
ADDRESS:	1205 SONORA STREET		TELEPHONE:	(559) 674-1972
CITY:	MADERA	STATE: CA	ZIP CODE:	93638
CAPACITY: 84	TOTAL ENROLLED CHILDREN: 84	CENSUS: 44	DATE:	07/15/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	Veronica Hurtado de O'Donovan		TIME VISIT/ INSPECTION COMPLETED:	02:40 PM

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On 7/15/2024 Licensing Program Analysts (LPAs) Stephanie Vega-Gonzalez and Xona Xayavong, conducted an unannounced Annual Required Inspection for the preschool license. LPAs met with Site Supervisor, Veronica Hurtado de O'Donovan and toured the facility indoors and outdoors and a census was taken. This facility is a year-round program with days and hours of operation of Monday through Friday from 6:00am to 5:30pm.

No poisons were observed during the inspection. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible.

There is no swimming pool or other bodies of water on the premises. Yet, the play yard is next to a water drainage basin. The chain link fence meets regulation. LPAs advised Site supervisor to do daily morning checks to ensure the fence meets regulation. LPAs reviewed bodies of water regulations with licensee. The licensee stated they understood and informed LPAs that staff do grounds checks daily and weekly. There are no firearms or ammunition allowed or stored on the premises.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. LPAs observed the following: Behind preschool classrooms/entrance by the fence/grass area LPAs observed a collection of water due to the sprinkler system. LPAs observed two metal rods by the gas meter next to classroom 1. LPAs observed that one out of the three sheds are in need of repair, behind one of the sheds there is an opening that has various tripping hazards that are accessible to children in care, which includes a loose wood panel that is roughly 4 by 6 feet. LPAs observed that the fence behind the sheds is in need of repair. LPAs observed that fence had a large opening that a child could fit through. LPAs observed that the playground slide is missing a bolt. A bag of soil behind classroom 4 that is accessible to children in care.

(Continue on LIC809-C)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024

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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Document Has Been Signed on 07/15/2024 02:21 PM - It Cannot Be Edited

Created By: Stephanie Vega-Gonzalez On 07/15/2024 at 01:25 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MADERA CHILD DEVELOPMENT CENTER*	FACILITY NUMBER: 203801809
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/15/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238.2(d)

(d) The surface of the outdoor activity space shall be maintained: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in that LPA observed various items that are in need of repair as stated in LIC809 and LIC809-C Facility Evaluation Report dated 7/15/2024, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/29/2024
	Plan of Correction
1 2 3 4	Site Supervisor stated that areas and items will be fixed as stated in the LIC809 and LIC809-C Facility Evaluation Report dated 7/15/2024. Site supervisor will send images of corrections to the department.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Juvenal Moctezuma

LICENSING EVALUATOR NAME:

Stephanie Vega-Gonzalez

LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024

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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MADERA CHILD DEVELOPMENT CENTER*	FACILITY NUMBER: 203801809
	VISIT DATE: 07/15/2024

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LPAs observed that one out of the two urinals was not flushing correctly. Toilets to child capacity are being maintained. Site Supervisor stated that they will have a work order for urinal. LPA’s reviewed findings with Site Supervisor. During the inspection Sites Supervisor removed and made bag of soil inaccessible along with the metal rods, and made area behind the shed with various tripping hazards inaccessible along with the wood panel. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. All toilets and handwashing facilities are in safe and sanitary operating condition. Facility has one or more functioning carbon monoxide detectors. Floors in the facility are clean and safe. Solid waste storage containers have tight-fitting covers and are in good repair.

Drinking water is available both indoors and outdoors. Drinking water is provided by personal water bottles and water dispenser. This facility does provide meals to children, snacks are provided. Food is prepared on site. Menus are posted at least one week in advance where an authorized representative can view them.

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 name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. All children are under supervision, including visual supervision, of a teacher at all times. Facility meets teacher-child ratios. LPAs 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. LPAs did observe that some of the reviewed children’s files had missing components. LPAs reviewed findings with Site supervisor who began working on the missing components during the inspection. LPAs reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. LPAs observed that Staff #4 did not have a current Mandated Reporter on file. Site Supervisor stated that Staff #4 enrolled in training and would have it completed by the end of today's date. All staff on site are fingerprint cleared via the Guardian roster report.

LPAs discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates.

LPAs discussed Reporting Requirements as outlined in the regulations (Section 101212).

Site Supervisor was reminded that all adults 18 and over, 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.

(Continue on LIC809-C)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024

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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MADERA CHILD DEVELOPMENT CENTER*	FACILITY NUMBER: 203801809
	VISIT DATE: 07/15/2024

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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.

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. 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). LPAs referred Site Supervisor the Department website for lead: www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information. LPAs obtained a copy of the Lead report and testing that was dated January 13, 2023. LPA Vega-Gonzalez will review report and update Site Supervisor if any components are missing.

This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-carecenters/.

Site Supervisor was informed of the MyChildCarePlan.org website; 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with Site Supervisor.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page). 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. Appeal rights were printed and reviewed.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2024

LIC809 (FAS) - (06/04)

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