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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500312457
Report Date: 11/16/2021
Date Signed: 11/16/2021 04:01:24 PM

Document Has Been Signed on 11/16/2021 04:01 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:TURLOCK CHRISTIAN SCHOOLFACILITY NUMBER:
500312457
ADMINISTRATOR:DE LA MOTTE, HEIDIFACILITY TYPE:
850
ADDRESS:2006 E TUOLUMNE ROADTELEPHONE:
(209) 669-2192
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 84DATE:
11/16/2021
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Director - Heidi de la MotteTIME COMPLETED:
04:10 PM
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On 11/16/2021, Licensing Program Analyst (LPA) Luisa Gavoutian, conducted an unannounced Case Management - Annual Continuation Inspection. This visit is a continuation of the annual inspection that was conducted on 10/27/2021. Deficiencies that were observed on 10/27/2021 are addressed in this report. LPA met with Director, Heidi de la Motte, who accompanied LPA on a tour of the facility, indoors and outdoors, and a census was taken. This facility maintains a toddler option component that serves up to 13 children. Hours of operation are Monday – Friday, 7:00 a.m. – 6:00 p.m.

On 10/27/2021, LPA observed the paint on the outdoor picnic tables were chipping which could lead to children sustaining splinters from the exposed wood. On 11/16/2021, Director stated that the tables had been sent to the local high school where they would be repainted before being brought back to the facility. On 10/27/2021, LPA observed the flushing handle of the left toilet in the girls’ restroom located outside the building was broken and the toilet did not flush. Director stated the handle must have broken recently as the toilet bowl was clean and had not been used. On 10/27/2021, LPA observed grime around the sinks in all of the girls’ and boys’ restrooms. On 11/16/2021, LPA observed the toilet had been repaired and was in working condition and the grime around the sink faucets had been cleaned and/or had faucets replaced. On 10/27/2021, LPA observed two classrooms had hand sanitizer that was accessible to children and one classroom had three cans of shaving cream in an unlocked cabinet below a sink. These items can pose a danger to children and must be kept out of reach of children. During the inspection on 10/27/2021, Director had removed the items from within children’s reach.
(Continued on LIC 809-C)
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Luisa Gavoutian
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2021
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: TURLOCK CHRISTIAN SCHOOL
FACILITY NUMBER: 500312457
VISIT DATE: 11/16/2021
NARRATIVE
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On 10/27/2021, LPA observed Staff 1 was providing care and supervision to children in the Toddler Component classroom. A review of records indicated that although Staff 1 had a criminal record clearance, Staff 1 was not associated to the facility. LPA reviewed Staff 1’s records and found a copy of form LIC 9182 – “Criminal Background Clearance Transfer Request” was filled out on 10/20/2021 and submitted to Community Care Licensing (CCL), but the transfer had not been completed. Staff 1 has since been associated to the facility effective 11/02/2021. Director understands that new hires must have a criminal record clearance and be associated to the facility prior to initial presence. Today, the facility is being issued a civil penalty in the amount of $100 in violation of California Code of Regulations (CCR) Section 101216(i)(2).

On 10/27/2021, LPA observed Staff 2 was providing care to children in the classroom without a face covering as required by the California Department of Public Health (CDPH) “Guidance on the Use of Face Coverings” issued June 18, 2020 and updated November 16, 2020, and an individual mask exception did not apply. LPA reviewed Staff 2’s facility file and found record that Staff 2 is fully vaccinated against COVID-19. LPA reviewed the CDPH “Guidance for Child Care Providers and Programs,” which states that “as of June 15, 2021, the use of face coverings is required by the California Department of Public Health (CDPH) and the Division of Occupational Safety and Health (Cal/OSHA) in child care indoor settings regardless of vaccination status.” Furthermore, LPA observed Staff 3 not wearing a face mask while alone on break but was wearing a mask while providing care and supervision, and Staff 4 was observed wearing a mask below the nose. LPA observed most children were not wearing face coverings. The facility has provided children age two and older with masks in each child’s cubby and children are being encouraged, but not forced, to wear them. LPA provided Director with a copy of PIN 21-18-CCP, which provides the link for the above-mentioned CDPH child care industry guidance.

Menus are posted at least one week in advance where an authorized representative can view them. The person who signs the child in/out of the facility uses their full legal signature and records the time of day. Today, LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representatives or others who can assume responsibility if the authorized representative cannot be reached.
(Continued on LIC 809-C)
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Luisa Gavoutian
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2021
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: TURLOCK CHRISTIAN SCHOOL
FACILITY NUMBER: 500312457
VISIT DATE: 11/16/2021
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LPA observed that all children’s files contained a medical assessment and one out of 10 files reviewed was missing results of a tuberculosis test. LPA observed the records of five of the five infants enrolled in the toddler component did not have updated needs and services plans. This deficiency is addressed in the infant report (LIC# 503602251). On 10/27/2021, LPA reviewed 20 staff files, which were all complete with medical assessment, immunizations, and mandated reporter training certificates.

LPA and Director discussed the Community Care Licensing (CCL) website (www.ccld.ca.gov) which provides 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 were found: (see LIC809-D). Exit interview conducted and report was reviewed with the facility representative Heidi de la Motte.

A notice of site visit was given and must remain posted for 30 days.



To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Luisa Gavoutian
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/16/2021 04:01 PM - It Cannot Be Edited


Created By: Luisa Gavoutian On 11/16/2021 at 02:50 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: TURLOCK CHRISTIAN SCHOOL
FACILITY NUMBER: 500312457

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101170(e)(2)
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f). This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, Staff 1 was providing care and supervision at the facility and did not have the criminal record clearance transferred to the facility. This poses a potential risk to the health, safety, or personal rights of children.
POC Due Date: 12/16/2021
Plan of Correction
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Staff 1 was associated to the facility effective 11/02/2021. Director stated she shall submit a written statement explaining how in the future the facility will ensure all staff have a criminal record clearance and have been associated to the facility prior to initial presence and must submit this statement to CCL by 12/16/2021.
Type B
Section Cited
CCR
101238(g)
Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, two classrooms had hand sanitizer accessible on the counter and another classroom had three cans of shaving cream in a low cabinet that was accessible to children. This poses a potential risk to the health, safety, or personal rights of children.
POC Due Date: 11/16/2021
Plan of Correction
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Director removed the items during the inspection, making them inaccessible. This deficiency has been cleared.
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:Alice Juarez
LICENSING EVALUATOR NAME:Luisa Gavoutian
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2021


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/16/2021 04:01 PM - It Cannot Be Edited


Created By: Luisa Gavoutian On 11/16/2021 at 02:54 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: TURLOCK CHRISTIAN SCHOOL
FACILITY NUMBER: 500312457

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(n)
Furniture and equipment shall be maintained in good condition, free of sharp, loose or pointed parts. This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the outdoor picnic tables were found to have chipped paint, exposing the wood underneath and causing potential for splinters. This is a potential risk to the health, safety, or personal rights of children.
POC Due Date: 12/16/2021
Plan of Correction
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Director stated the tables have been sent to the local high school to be repainted. Director shall submit photographs of the repainted tables to CCL by 12/16/2021.
Type B
Section Cited
CCR
101239(e)(4)
All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition. This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, one toilet in the girls’ bathroom had a broken handle and did not flush and all sinks were observed to have grime build up. This poses a potential risk to the health, safety, or personal rights of children.
POC Due Date: 11/16/2021
Plan of Correction
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Director placed a work order immediately to have the toilet repaired and sinks cleaned. On 11/16/2021, LPA observed the toilet had been repaired and sinks cleaned or replaced. The deficiency has been cleared.
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:Alice Juarez
LICENSING EVALUATOR NAME:Luisa Gavoutian
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2021


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