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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 223810216
Report Date: 08/05/2022
Date Signed: 08/05/2022 03:09:07 PM

Document Has Been Signed on 08/05/2022 03:09 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WHERE THE WILD THINGS PLAY PRESCHOOL LLCFACILITY NUMBER:
223810216
ADMINISTRATOR:DIXON, LORIFACILITY TYPE:
830
ADDRESS:5112 BULLION STTELEPHONE:
(209) 742-9453
CITY:MARIPOSASTATE: CAZIP CODE:
95338
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 0DATE:
08/05/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:09 AM
MET WITH:Lori DixonTIME COMPLETED:
03:30 PM
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On August 5, 2022, Licensing Program Analyst (LPA) C Brannon conducted an announced prelicensing inspection and met with applicant, Lori Dixon. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located at the corner of 12th and Bullion St. This is a new facility and the applicant is requesting 36 infants 0 to 24 months, including 12 crib babies. This program will operate year-round. This facility will provide day care services from 6:30 AM to 6:00 PM Monday through Friday. This program will operate in the one infant classroom. Infants will be brought into the reception area/classroom where staff conduct temperature checks and conduct a risk assessment. Parents are welcomed to take their infants into the classroom. Applicant, Lori Dixon, stated that the staff do not wear masks as Mariposa is a low risk county. LPA reminded Lori Dixon that the Public Health Department and CDC strongly recommends for staff to wear face masks.

Lori Dixon stated that parents provide formula and pre-made bottles for the younger infants. When the infant is older and is not eating baby food, the center will provide a morning snack, afternoon snack and lunch. There is a kitchen on site. Applicant is utilizing baby gates to ensure children do not have access to the kitchen area. Staff will utilize the staff bathroom in facility. Ill infants will be isolated in the Site supervisor’s office and utilize the staff bathroom. Applicant has a pack ‘n play for sick infant to utilize. Applicant is aware to have the pack ‘n play sanitize after sick infant is picked up parent/guardian. There are 12 pack 'n plays in crib room. Per applicant, there will be one staff in crib room when an infant(s) are sleeping.

The classroom was observed to be clean and free of toxins. LPA observed that the furniture and equipment appeared to be safe and in good condition. There are enough tables, chairs, cots, and plenty of toys for children to play. LPA also reminded Lori Dixon to not store anything on top of high bookcases that could potentially fall on children. There are working carbon monoxide detectors inside every classroom. They are the combo carbon monoxide with smoke detectors. There are alarms on doors leading out of classroom.

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2022
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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: WHERE THE WILD THINGS PLAY PRESCHOOL LLC
FACILITY NUMBER: 223810216
VISIT DATE: 08/05/2022
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LPA reviewed with applicant, Lori Dixon, that any future changes to the infant classroom are required to ensure that furniture does not tip over on to infants, the furniture are to be anchored or situated that tipping does not occur. Classroom changes of furniture shall be situated that 100% visual supervision is always provided to infants in care.

Room measurements were taken and reviewed with applicant, Lori Dixon. The total inside infant area measured to an approximate 1341 square feet which will only accommodate the requested capacity of 36 infants at a time. There is adequate storage space available for infants’ belongings in the classroom. Applicant, Lori Dixon understands that infants’ equipment needs to match the capacity she is licensed for. Toys and equipment appear to be age appropriate. There is a total of three hand washing faucets and three changing pad which will accommodate the requested capacity of 36 infants. Applicant has the three changing pads on the floor. The cabinets under the sink is locked, thereby making the sanitizing solution used for disinfecting changing pad before and after each diaper change. Per applicant, there is a water pitcher, a disposable cup dispenser with disposable cups to provide drinking water to infants. Parents will provide sippy cups and bottles for infants for drinking water to be readily available. The pitcher, sippy cups or bottles will be available for children to have access to drinking water inside and outside.

A fire clearance of 126 for the capacities of 36 infants, 48 preschool and 42 school age children was approved and granted by the Mariposa CFAO Fire Department on 8/1/22. The fire clearance was approved with conditions of having fire alarm system become monitored and until it is monitored, there shall be a fire watch every hour while open as well as the installation of a knox box at front gate/door. Per applicant, a fire watch is in place. Every week, applicant is to email fire marshal that staff has walked through building, every hour to ensure there is no fire. At night, applicant’s tenant, checks the area to ensure there is no fire on facility. These procedures are in place until a monitoring system can be installed.

This facility plans 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

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2022
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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: WHERE THE WILD THINGS PLAY PRESCHOOL LLC
FACILITY NUMBER: 223810216
VISIT DATE: 08/05/2022
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Applicant, Lori Dixon, 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.

This facility does provide care to infants. LPA discussed the safe sleep regulations with Lori Dixon 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 applicant, Lori Dixon, 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, a recommendation will be made to license the above facility for the requested capacity of 36 infants.

LPA reviewed with applicant, Lori Dixon, 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 101160(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

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: WHERE THE WILD THINGS PLAY PRESCHOOL LLC
FACILITY NUMBER: 223810216
VISIT DATE: 08/05/2022
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LPA provided copy of PIN providing information on lead testing, LIC 9275 and LIC 9276, to assist applicant in accomplishing the required lead testing before 2023.

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 Applicant, Lori Dixon.

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
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4