543801186-3-7-2024-57-CC-KMWS-D35V6J-20240307150936

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543801186
Report Date: 03/07/2024
Date Signed: 03/07/2024 03:09:40 PM

Document Has Been Signed on 03/07/2024 03:09 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	GOSHEN ELEMENTARY SCHOOL PRESCHOOL		FACILITY NUMBER:	543801186
ADMINISTRATOR:	HENDRICK, JOSETTE		FACILITY TYPE:	850
ADDRESS:	6505 AVENUE 308		TELEPHONE:	(559) 730-7847
CITY:	VISALIA	STATE: CA	ZIP CODE:	93291
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 16	CENSUS: 15	DATE:	03/07/2024
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Lisa Salazar		TIME COMPLETED:	03:30 PM

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On March 7, 2024 Licensing Program Analysts (LPAs) Kari McWilliams and Chris Burnias conducted an unannounced case management visit and met with Preschool Technician Lisa Salazar. LPAs toured the facility inside and out and a census was taken. LPAs informed Preschool Technician the purpose of todays inspection.

During the annual inspection on March 7, 2024 LPAs observed that the outside play area was in a complete different area. The previous outside play area was on the south side of the the preschool classroom and was shared with the kindergarten classes. The new outside play area is the north side of the preschool classroom and is solely used by the preschool classes.

There is a chain link fencing surrounding the perimeter of the outdoor space is at least four feet high. The total square footage of the outdoor activity space for the preschool is 6,194 square feet which is sufficient to accommodate the requested capacity of 25 preschool children. Shade is provided via a mature tree in the center of the grass outdoor space as well as the building will provide natural shade.

There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is a large star shaped raised sand table, two play structures, one balancing structure and one climbing structure on the preschool playground for children which is properly anchored. There is adequate cushioning in fall zones of climber provided by rubberized playground surface cushioning. There is also a large grassy area.

Drinking water is available via water fountains on the west side of the classroom and personal water bottles that Preschool Technician stated will be brought outside. LPAs observed no hazardous items on the playground to be inaccessible to children. Preschool Technician was reminded that any changes to the facility must be reported to and approved by Community Care Licensing.

LPAs obtained a new facility sketch that shows the accuracy of the new outside play area.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024

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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GOSHEN ELEMENTARY SCHOOL PRESCHOOL	FACILITY NUMBER: 543801186
	VISIT DATE: 03/07/2024

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The facility was not able to provide the sticker for the play structure that determines the age of the children that are approved for the structure. The outside play structures are currently off limits until the stickers are provided. The Preschool Technician was informed that all structures would not be accessible to children in care until the sticker is provided.

Per Title 22 Division 12 Chapter 1 of the California Code of Regulations there are no deficiencies being cited during todays inspection.

Exit interview conducted and report was reviewed with Preschool Technician Lisa Salazar. Appeal rights were provided.

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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2024

LIC809 (FAS) - (06/04)

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