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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808514
Report Date: 06/23/2021
Date Signed: 06/23/2021 12:47:25 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/23/2021 12:47 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:UC MERCED EARLY CHILDHOOD E.C.FACILITY NUMBER:
243808514
ADMINISTRATOR:WAITE, DANIELLEFACILITY TYPE:
850
ADDRESS:5200 N. LAKE ROADTELEPHONE:
(209) 228-5437
CITY:MERCEDSTATE: CAZIP CODE:
95343
CAPACITY: 59TOTAL ENROLLED CHILDREN: 0CENSUS: 33DATE:
06/23/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Danielle Waite - DirectorTIME COMPLETED:
01:00 PM
NARRATIVE
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On 6/23/21 Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced Annual Required inspection. LPA met with Director, Danielle Waite and toured the facility, both indoors and outdoors. There are no bodies of water on the premises. Firearms and ammunition are not allowed or stored on premises. The facility is in compliance with conditions, limitations and capacity specified on the license. Teacher-Child ratios are maintained, and all children are under supervision, including visual supervision, of a teacher at all times. Disinfectants, cleaning solutions and medications are inaccessible to children. No poisons were observed during today’s visit. All materials and surfaces accessible to children are toxic free. Outdoor activity space surface is maintained in a safe condition with adequate cushioning material and is free of hazards. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Areas around high climbing equipment, swings, and slides have cushioning material to absorb falls. All toilets, hand washing, and bathing facilities are in safe and sanitary operating conditions. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. Uncontaminated drinking water is available both indoors and outdoors. Facility does not transport children. Licensee is aware that children are never to be left in parked vehicles. All kitchen, food prep, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and contaminated food is discarded immediately. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, are in good repair. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 (F) or less. Menus are posted at least one week in advance, where an authorized representative can view them. Director was unable to locate a functioning carbon monoxide detector. Smoke detectors meet statutory requirements. Fire drills have been conducted and documented with the date and time at least once every six months. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. CCL shall notify a licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons. The licensee shall comply with the notice. Staff records contain appropriate, documentation of education credits.
CONTINUED ON 809-C
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2021
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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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: UC MERCED EARLY CHILDHOOD E.C.
FACILITY NUMBER: 243808514
VISIT DATE: 06/23/2021
NARRATIVE
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Health screening forms for staff are on file. At least one person trained in CPR and Pediatric first aid is present when children are at the facility or at off-site activities. AB 1207 Mandated Reporter certification for staff is current. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. Child's admission agreement is available for review. Children’s records were reviewed to ensure proper forms are located within each child’s file. Required CCL forms are posted on parent's board.

Hours of operation are Monday through Friday 8:00am – 4:30pm and the facility operates year round.

This facility provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found (see LIC809-D): LPA provided Director with a copy of Appeal Rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit form is required to be posted for 30 days.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/23/2021 12:47 PM - It Cannot Be Edited


Created By: Joseph Pacheco On 06/23/2021 at 12:28 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: UC MERCED EARLY CHILDHOOD E.C.

FACILITY NUMBER: 243808514

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/07/2021
Section Cited

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Carbon monoxide detectors required; inspection. Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for
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the presence of these detectors during inspections. This requirement was not met as evidenced by Director was unable to locate a working Carbon Monoxide detector in the facility. This is a potential danger to the health, safety or personal rights of 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:Diana deLeon
LICENSING EVALUATOR NAME:Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:
DATE: 06/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/23/2021


LIC809 (FAS) - (06/04)
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