223808585-1-29-2025-04-CC-VMIS-DDDRVJ-20250129122136

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 223808585
Report Date: 01/29/2025
Date Signed: 01/29/2025 12:21:48 PM

Document Has Been Signed on 01/29/2025 12:21 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	CATHEYS VALLEY PRESCHOOL		FACILITY NUMBER:	223808585
ADMINISTRATOR/ DIRECTOR:	ANITA HOLT		FACILITY TYPE:	850
ADDRESS:	4952 SCHOOL HOUSE ROAD		TELEPHONE:	(209) 742-4024
CITY:	CATHEYS VALLEY	STATE: CA	ZIP CODE:	95306
CAPACITY: 16	TOTAL ENROLLED CHILDREN: 16	CENSUS: 12	DATE:	01/29/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Anita Holt		TIME VISIT/ INSPECTION COMPLETED:	01:00 PM

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On 01/29/2025, Licensing Program Analyst (LPA) Valerie Mireles conducted an unannounced Annual Random Inspection for the preschool license. LPA met with Director Anita Holt, toured the facility indoors, outdoor and took a census. This facility is housed on the Sierra Foothills Charter school campus, located in a portable building at the front. The facility operates on a traditional school year schedule with a half-day AM program. Days and hours of operation are Monday through Thursday 8:10AM-11:50AM.

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. This child care center (CCC) has plenty of age-appropriate toys, blocks, and learning materials. The outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. There is a newly installed playground structure that has not yet been approved by Community Care Licensing and Director is aware that the playground is to remain inaccessible until LPA inspects it and authorizes it for use by children in care. The area is made inaccessible by yellow caution tape. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. All toilets and hand washing 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. This facility does not provide meals to children, snacks are provided by parents. There are snacks available should a child forget their snack at home. 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. There are no firearms or ammunition allowed or stored on the premises.

Continued to LIC809-C.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

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

FACILITY NAME: CATHEYS VALLEY PRESCHOOL	FACILITY NUMBER: 223808585
	VISIT DATE: 01/29/2025

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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 CCC 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. LPA 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. LPA reviewed a sample of staff files and observed files were incomplete, missing the immunization records for influenza, pertussis and measles and two staff did not have documentation of completed or renewed mandated reporter training.

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

Director 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 CCC. 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 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 CCC 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). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP. LPA referred Director to the Department website for lead: www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information.

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 are available at: https://www.ada.gov/resources/child-care-centers/. Continued to LIC809-C.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CATHEYS VALLEY PRESCHOOL	FACILITY NUMBER: 223808585
	VISIT DATE: 01/29/2025

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Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare 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 Director Anita Holt. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, the following deficiencies are 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.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 01/29/2025 12:21 PM - It Cannot Be Edited

Created By: Valerie Mireles On 01/29/2025 at 11:43 AM

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: CATHEYS VALLEY PRESCHOOL	FACILITY NUMBER: 223808585
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/29/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on LPA record review and staff interview, Staff 1 last completed the Mandated Reporter Training on 02/22/2022 and has not been renewed. Staff #2 has not completed the Mandated Reporter Training. This poses a potential risk to the health, safety and personal rights to children in care.
	POC Due Date: 02/28/2025
	Plan of Correction
1 2 3 4	Director agreed that Staff #1 and Staff #2 will complete and/or renew their AB1207 and provide documentation to CCL by end of busines day on 02/28/2025. Mandated reporter training is available at http://www.mandatedreporterca.com. It is required for first time users to register, take the General training, and once the General training is complete, take the Child Care Provider (specific) training. Employees should print a copy of completed Child Care Provider training certificate and certificates should be kept in their employee files for review. This training is required to be renewed every two years, and once you have already registered, you will be able to take the Child Care Provider specific training without taking the General training again.

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review of staff files, all staff files were missing their immunization records for influenza (or declination for influenza), pertussis and measles. This poses a potential risk to the health, safety and personal rights to children in care.
	POC Due Date: 02/28/2025
	Plan of Correction
1 2 3 4	Director will obtain and keep on file proof of immunization records for influenza, pertussis and measles for all staff and volunteers. Director will provide immunization records for all staff to CCL by 02/28/2025.

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:

Cynthia Brannon

LICENSING EVALUATOR NAME:

Valerie Mireles

LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025

LIC809 (FAS) - (06/04)

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