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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808251
Report Date: 09/03/2021
Date Signed: 09/07/2021 05:10:59 PM

Document Has Been Signed on 09/07/2021 05:10 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:SAN LUIS HEAD STARTFACILITY NUMBER:
243808251
ADMINISTRATOR:FLORES, MELANIEFACILITY TYPE:
850
ADDRESS:129 7TH STREETTELEPHONE:
(209) 827-5691
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY: 60TOTAL ENROLLED CHILDREN: 0CENSUS: 14DATE:
09/03/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Isabel AbundezTIME COMPLETED:
11:30 AM
NARRATIVE
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On 09/03/2021, Licensing Program Analysts (LPAs) Juvenal Moctezuma & Cynthia Brannon conducted a case management inspection and met with Education Coordinator, Isabel Abundez. During the prelicensing inspection for their new infant license, it was revealed that the classroom that the center is wanting to license is currently under this preschool license. LPA had to remeasure the preschool areas both indoors and outdoors to see if the capacity was affected. Based on the measurements done today, it was revealed that the preschool capacity will need to drop from 60 to 48 children since they have lost one preschool classroom. LPA notified Isabel that they needed to submit an application to decrease the preschool capacity and they can no longer care for more than 48 preschool children.

During the walk through LPAs observed the metal railing to have rust. Isabel stated that staff have submitted multiple work orders to get the railing fixed but has not gotten fixed. LPAs also advised Isabel that they need to make the piping and electrical on the outside of their playground inacessible to children and to get a tarp for their sand box. Isabel stated that they will take care of all these items as soon as possible and will submit an application packet to decrease the preschool capacity. During todays inspection the following type B deficiency was cited. Appeal rights were provided

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: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE: DATE: 09/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/03/2021
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 09/07/2021 05:10 PM - It Cannot Be Edited


Created By: Juvenal Moctezuma On 09/03/2021 at 10:42 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: SAN LUIS HEAD START
FACILITY NUMBER: 243808251

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/17/2021
Section Cited
CCR
101238(a)

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The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This deficiency was not met as evidence by LPAs observing the railing leading the preschool children from their
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Licensee stated they will submit another work order and get the railing replaced/repaired. Licensee will submit proof that the railing has been fixed by no later than 9/17/2021.
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classroom to the outdoor play area to have rust. Isabel sated that the center staff have submitted multiple work orders but has not gotten fixed. This is a potential health & safety risk to children in care.
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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:Michael Duarte
LICENSING EVALUATOR NAME:Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:
DATE: 09/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/03/2021


LIC809 (FAS) - (06/04)
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