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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540407526
Report Date: 08/25/2021
Date Signed: 08/25/2021 12:29:47 PM

Document Has Been Signed on 08/25/2021 12:29 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:HIGHLAND ELEMENTARY SCHOOL PRESCHOOLFACILITY NUMBER:
540407526
ADMINISTRATOR:MATTA, NATALIFACILITY TYPE:
850
ADDRESS:701 NORTH STEVENSONTELEPHONE:
(559) 730-7500
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 9DATE:
08/25/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Margaret MclainTIME COMPLETED:
12:45 PM
NARRATIVE
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On 8/25/21 Licensing Program Analyst (LPA) Jessika Thompson conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Early Childhood Education Lead Margaret Mclain and toured the facility indoors and outdoors. This preschool follows the school year calendar of Visalia Unified School District with the hours of operation for two classes: 8:00 AM to 11:00 AM and 12:00 PM to 3:00 PM.

Criminal record clearance records are completed as condition for employment and maintained by Visalia Unified School District. There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. Disinfectants, cleaning solutions and other hazardous items are made inaccessible. No poisons were observed during the inspection.

LPA observed that the outdoor play structure is currently fenced off as it is not in use due to a pending remodel. Children currently play in the adjacent grass area that is free of hazards; however, in area accessible to children on the southern end of playground, LPA observed an industrial sized sealed container of liquid, four pallets of flooring material and two large rolls of smart turf. All toilets and hand-washing facilities are in safe and sanitary operating condition. Floors in the facility are clean and safe. Solid waste storage containers have tight-fitting covers and are in good repair. Drinking water is available both indoors and outdoors. All materials and surfaces accessible to children are toxic free. The facility is free of flies, insects and rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off-site activities. Children's files were reviewed and in compliance. LPA reviewed a sample of staff files and observed files were complete with documentation of meeting qualification requirements.

(Continued on LIC809-C).

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/25/2021
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 3
Document Has Been Signed on 08/25/2021 12:29 PM - It Cannot Be Edited


Created By: Jessika Thompson On 08/25/2021 at 11:27 AM
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: HIGHLAND ELEMENTARY SCHOOL PRESCHOOL
FACILITY NUMBER: 540407526

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/25/2021
Section Cited
CCR
101212(b)

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The name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee. This requirement was not met as evidenced by records review.
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LPA has reviewed Director's requirements with Margaret Mclain. Ms. Mclain stated she will submit the required documentation to the Fresno Community Care Licensing Office by 9/25/21.
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During today's inspection, LPA found that the facility has a new Director/Principal; however, all required information has not been reported to the Fresno Community Care Licensing Office. This poses a potential risk to the health, safety, or personal rights of children in care.
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Type B
09/02/2021
Section Cited
CCR101238.2(h)

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Any construction or equipment that could pose a hazard in the outdoor activity area shall be made inaccessible to children in care. This shall include, but not be limited to, incinerators, air- conditioning equipment, water heaters, and fuse boxes.
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A work order was placed today by staff to ensure the area containing construction materials is enclosed, by way of temporary fencing. Ms. Mclain stated she will submit proof of correction photos to the Fresno CCL office by 09/02/21.
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This requirement was not met as evidenced by LPA's observations. Today LPA observed in area accessible to children on the southern end of playground, an industrial sized sealed container of liquid, four pallets of flooring material and two large rolls of smart turf. This poses a potential risk 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:Jessika Thompson
LICENSING EVALUATOR SIGNATURE:
DATE: 08/25/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/25/2021


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: HIGHLAND ELEMENTARY SCHOOL PRESCHOOL
FACILITY NUMBER: 540407526
VISIT DATE: 08/25/2021
NARRATIVE
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Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and Ms. Mclain 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, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D)

Licensee was provided a copy of their appeal rights. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
LIC809 (FAS) - (06/04)
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