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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808290
Report Date: 07/22/2021
Date Signed: 07/22/2021 03:33:18 PM

Document Has Been Signed on 07/22/2021 03:33 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:CHILDREN'S CRISIS CENTER-VERDA'S HOUSEFACILITY NUMBER:
503808290
ADMINISTRATOR:GARCIA,COLLEENFACILITY TYPE:
830
ADDRESS:715 E. MAIN STREETTELEPHONE:
(209) 656-7783
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY: 4TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
07/22/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Rosa BorbaTIME COMPLETED:
04:00 PM
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On 7/22/21, Licensing Program Analysts (LPAs), Roman Iglesias and Cynthia Brannon conducted an unannounced Annual Required Inspection for the infant license. LPAs met with Program Site Managers, Rosa Borba and Ana Gonsalez. LPAs toured the facility indoors/outdoors and took census. Days and hours of operation are Monday through Friday from 7:00 am through 6:30 pm. There are no bodies of water. Firearms and other weapons are not allowed or stored on the premises of a child care center. Disinfectants, cleaning solutions, and other items that are dangerous to children, are inaccessible to children. No poisons were observed during today’s inspection. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats. The facility has sufficient infant napping equipment. No baby walkers were observed during today’s inspection. The facility has indoor activity space for infants that is physically separate from space used by preschool child care center/school-age child care center components. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. The licensee takes measures to keep the facility free of flies, other insects, and rodents. While in use, infant changing tables are placed within arm's reach of a sink. All medications are centrally stored, maintained with the child's name, are dated, and follow the conditions as prescribed.

The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. LPA observed sufficient cushioning material in the form of rubber matting underneath low infant climbing equipment.

All storage containers for solid waste, including moveable bins, have tight fitting covers that are kept on, and are in good repair. All meals are provided by the facility and no food is brought by the infant's authorized representative. Menus are posted at least one week in advance in a place visible by the child's authorized representative, dated, kept on file for 30 days, and are made available upon request.
(Continued on next page, LIC809-C)
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Roman Iglesias
LICENSING EVALUATOR SIGNATURE: DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: CHILDREN'S CRISIS CENTER-VERDA'S HOUSE
FACILITY NUMBER: 503808290
VISIT DATE: 07/22/2021
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Capacity as specified on the license is being maintained. No child is left without the supervision, including visual supervision, of a teacher at any time. There is a ratio of one staff supervising no more than four infants in attendance. Prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review have obtained a clearance or criminal record exemption. Community Care Licensing (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.

The licensee ensures that personnel records are maintained on the licensee, administrator, and each employee. The facility ensures that staff being utilized as infant teachers meet the qualification requirements. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off-site activities. The person who signs the child in/out, is responsible for the child, uses his/her full legal signature and records the time of day. The facility has an individual feeding plan for each infant that meets the requirements. The facility ensures that each infant has an Infant Needs and Services Plan, that is updated quarterly.

Required CCL forms are posted on parent's board.

This facility provides Incidental Medical Services – IMS. No infants enrolled at this time require IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today. Exit interview was conducted with Program Site Supervisor, Rosa Borba.

This report is to be made available to the public upon request.

Site Visit Notice posted on the parent board.

SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Roman Iglesias
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2021
LIC809 (FAS) - (06/04)
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