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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 267750001
Report Date: 10/13/2022
Date Signed: 10/13/2022 09:40:40 AM

Document Has Been Signed on 10/13/2022 09:40 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
CCLD Regional Office, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME:MAMMOTH LAKES PRESCHOOLFACILITY NUMBER:
267750001
ADMINISTRATOR:JULIE WINSLOWFACILITY TYPE:
850
ADDRESS:365 SIERRA PARK RD BUILDING NTELEPHONE:
(760) 934-0031
CITY:MAMMOTH LAKESSTATE: CAZIP CODE:
93546
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 14DATE:
10/13/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Julie Winslow, Site SupervisorTIME COMPLETED:
09:45 AM
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On 10/13/2022, Licensing Program Analyst (LPA) Pete Espinoza conducted an announced prelicensing inspection and met with Julie Winslow, Site Supervisor. A tour of the center was conducted both inside and outside. The center is located in Building N on the campus of Mammoth Lakes High School located at 365 Sierra Park Rd in Mammoth Lakes 93546. This is a change of Ownership from previous IMACA MAMMOTH PRESCHOOL - 263808944. Applicant is requesting capacity of 22 preschool children ages 2-6. Days and hours of operation are Monday through Friday 8:00 AM - 4:00 PM.

Ms. Winslow stated that the center will provide a morning snack only and parents will provide lunch, labeled with children's name and stored in cubby and/or refrigerator. Ms. Winslow stated that the center has a plan in place in case a parent forgets to bring their child lunch. There is a kitchen on site in case food needs to be warmed up or stored. Staff will utilize the staff bathroom near entrance to classroom. Ill children will be isolated in the Site Supervisor’s office and utilize the staff bathroom.

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. There is a working carbon monoxide detector in the classroom.

Measurements of indoor activity space for Preschool program were taken and reviewed with Ms. Winslow. The total usable square footage for Preschool program is approximately 915 square feet, which will accommodate the requested capacity of 22 Preschool children. There is adequate storage space available for children's belongings in the classroom. Director understands that children's equipment needs to match the capacity she is licensed for. Toys and equipment appear to be age appropriate. There is a total of 2 toilets and 4 sinks/hand washing fixtures which will accommodate the requested capacity of 22 Preschool children. There is a water fountain inside that children use to have water readily available to them. Outdoor water provided by Igloo and disposable cups.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2022
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, 39115 TRADE CENTER DR STE. 201
PALMDALE, CA 93551
FACILITY NAME: MAMMOTH LAKES PRESCHOOL
FACILITY NUMBER: 267750001
VISIT DATE: 10/13/2022
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The approximate outside square footage for the Preschool play area is 1,805 square feet, which will accommodate requested capacity of 22 Preschool children. The preschool play area is fenced and gated all around. LPA observed age appropriate toys, sandbox and bike path.

A fire clearance of 22 preschool children was approved & granted by the Mammoth Lakes Fire Protection District on 05/16/2022.

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

Criminal background clearances are completed as condition for employment and maintained at the Mono County Office of Education Administration Office.

This facility does not provide care to infants.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for the requested capacity of 22 preschool(Infant or school age) children.

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 Julie Winslow, Site Supervisor.

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: Diana deLeon
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2022
LIC809 (FAS) - (06/04)
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