243810151-4-26-2023-04-CC-JPAO-CR9LRD-20230426085857

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243810151
Report Date: 04/21/2023
Date Signed: 04/26/2023 08:59:06 AM

Document Has Been Signed on 04/26/2023 08:59 AM - 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:	YELLOW BRICK ROAD PRESCHOOL AND DAYCARE		FACILITY NUMBER:	243810151
ADMINISTRATOR:	LARGE, KAREN		FACILITY TYPE:	840
ADDRESS:	726 I STREET		TELEPHONE:	(209) 827-0679
CITY:	LOS BANOS	STATE: CA	ZIP CODE:	93635
CAPACITY: 18	TOTAL ENROLLED CHILDREN: 18	CENSUS: 0	DATE:	04/21/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Karen Large - Site Supervisor		TIME COMPLETED:	01:45 PM

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On 4/21/23, Licensing Program Analyst (LPA) Joseph Pacheco conducted an announced Prelicensing inspection and met with Site Supervisor, Karen Large. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located on 726 I Street in Los Banos, CA. Applicant is requesting a license of 18 school age children. This program will operate year round from 7:30 AM to 5:30 PM Monday through Friday. This program plans to operate in three preschool classrooms/areas. Applicant will be using cubbies and wooden dividers to separate all three classes/spaces.

AM snack, lunch, & a PM snack will be provided by the Center. Food will be prepped at an off site location and will be brought over and stored in the kitchenette then dispersed to the classrooms. Parents are allowed to bring their child a cold lunch which can be kept in the kitchenette. The cleaning supplies will be stored in the kitchen area which will be inaccessible to children in care. Staff will utilize the staff bathroom located on the second floor which can be accessed through the staff lounge. LPA observed a gate at the bottom of the stairs making the second floor inaccessible to children in care. Ill children will be isolated in the Site Supervisors office and will use one of the school age bathrooms when ill.

The school age divided areas were observed to be clean and free of toxins. LPA observed that the furniture and equipment appeared to be safe and in good condition. LPA reminded applicant to not store anything on top of the children's cubbies or tall bookcases that could potentially fall on the children. Karen understood. The facility has a working carbon monoxide inside the center located near the kitchenette in the rear of the building. She also stated that there is a sanitation station at the front entrance where staff will do wellness checks every morning during drop off and take the children's and staffs temperatures every morning.

Room measurements were taken and reviewed with Karen. The total inside school age area measured to an approximate 627 square feet which will accommodate 18 school age children. There is adequate storage space available for children's belongings in each classroom. There are enough tables and chairs for the requested capacity.

Report Continued Onto LIC 809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: YELLOW BRICK ROAD PRESCHOOL AND DAYCARE	FACILITY NUMBER: 243810151
	VISIT DATE: 04/21/2023

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Toys and equipment appear to be age appropriate. There are a total of 2 toilets and 2 sinks/hand washing fixtures which will accommodate the requested capacity of 18 school age children. There is a water dispenser next to the bathrooms and a water fountain but Karen stated that each child will have their own water bottle which will be kept in their designated area so they can have water readily available to them at all times. Children will take their water bottle out in the play area.

The approximate outside square footage for the play area is 3,071 which will accommodate the 18 school age children. The play area will be shared with the preschool children at separate times (No commingling allowed). Karen stated that children will exit through the rear of the center to access the outdoor play area. The Play area is fenced all around. LPA observed three emergency exits in the outdoor play area. One is locked by a latch and the other two are push bar. LPA informed Director that an alarm or latches are needed for the two push bar gates. LPA observed the play area to have bikes, an age appropriate climbing dome, shade, & cabinets for storage. Applicant is using pea gravel to cushion the fall zones for the play structure. LPA observed a water dispenser from a water vendor service in the outdoor play area. Children will use own water bottles to fill up the water. LPA informed Site Supervisor that the indoor water fountain and any water outlets used to prepare food will need to be tested for lead per PIN 21-21.1-CCP.

A fire clearance for 18 school age children was received and granted by the Los Banos Fire Department on 5/23/2022.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

Karen 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.

Report Continued Onto LIC 809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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: YELLOW BRICK ROAD PRESCHOOL AND DAYCARE	FACILITY NUMBER: 243810151
	VISIT DATE: 04/21/2023

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The following items must be completed prior to issuing a license by 04/28/2023.

Indoor Area

· Install partitions making the chapel in the rear of the facility inaccessible to children.

Outdoor Play Area
· Install alarms or latches on the two push bar exits.
· Anchor dome climbing structure.

Pending a final file review and completion of the above items, a recommendation will be made to license the above facility for a capacity of 18 school age children.

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

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.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

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: YELLOW BRICK ROAD PRESCHOOL AND DAYCARE	FACILITY NUMBER: 243810151
	VISIT DATE: 04/21/2023

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32	Exit interview conducted and report was reviewed with the Karen Large. No deficiencies cited during today's visit. 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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 04/21/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2023

LIC809 (FAS) - (06/04)

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