543810171-8-3-2022-57-CC-PESA-CGXPQ3-20220803113029

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543810171
Report Date: 08/03/2022
Date Signed: 08/03/2022 11:30:41 AM

Document Has Been Signed on 08/03/2022 11:30 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	COTTONWOOD CREEK ELEMENTARY		FACILITY NUMBER:	543810171
ADMINISTRATOR:	SULLIVAN, AMY		FACILITY TYPE:	850
ADDRESS:	4222 S DANS ST		TELEPHONE:	(559) 735-3539
CITY:	VISALIA	STATE: CA	ZIP CODE:	93277
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 0	DATE:	08/03/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Margaret McLain, Director		TIME COMPLETED:	11:45 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 08/03/2022, Licensing Program Analyst (LPA) Pete Espinoza conducted an announced prelicensing inspection and met with Margaret McLain, Administrator. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located on the campus of Cottonwood Creek Elementary School located at 4222 S. Dana Street Visalia, 93277. This is a new facility and the applicant is requesting a capacity of 24 preschool children ages 2-6. This is an AM/PM half day program which operates on a traditional school year schedule. Days and hours of operation are Monday through Friday. This program provides two sessions. AM session from 8:00 AM to 11:00 AM. PM session is from 12:00 PM to 3:00 PM. Director stated that the center will provide breakfast and lunch. Meals are prepared in the school cafeteria. Meals are delivered and children eat in the classroom. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Menus are posted at least one week in advance where an authorized representative can view them. Ill children will be isolated in the school nurse's office and utilize the restroom in school nurse's office. 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 inside the kitchen. LPA reviewed with Margaret McLain, Administrator, that any future changes to the classroom(s) are required to ensure that furniture does not tip over on to children, the furniture are to be anchored or situated that tipping does not occur. Classroom changes of furniture shall be situated that 100% visual supervision is always provided to children in care.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022

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

FACILITY NAME: COTTONWOOD CREEK ELEMENTARY	FACILITY NUMBER: 543810171
	VISIT DATE: 08/03/2022

NARRATIVE

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Room measurements were taken and reviewed with Margaret McLain, Administrator. The total inside preschool area measured to an approximate 862 square feet which will accommodate the requested capacity of 24 preschool children at a time. There is adequate storage space available for children's belongings in the classroom. Toys and equipment appear to be age appropriate. There are two (2) separate restrooms with one (1) toilet in each. There are no handwashing sinks in the restrooms. Children will also use restroom adjacent to office that contains one (1) toilet and one(1) handwashing sink. There is one (1) handwashing sink in the classroom. There is a total of 3 toilets and 2 sinks/hand washing fixtures which will accommodate the requested capacity of 24 preschool children.

The approximate outside square footage for the outside play area is 3,760 which will accommodate requested capacity of 24 Preschool Children. The outside play area is fenced/gated all around. LPA observed age appropriate toys, small structure and a bike path. Applicant is using wood chips to cushion fall zones. There is shade available where children can rest and get water. LPA reminded Margaret McLain, Administrator, to provide adequate supervision at all times. Outside play area will be shared with kindergarten classrooms from Cottonwood Creek Elementary school. Director will submit request for waiver to share play area with kindergarten classrooms from Cottonwood Creek Elementary School.

A fire clearance was approved/granted for 24 preschool children by the Visalia City Fire Department on 06/22/2022.

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 record clearance is completed as condition for employment and maintained by the Visalia Unified School District Administration offices.

This facility does/does not provide care to infants.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022

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: COTTONWOOD CREEK ELEMENTARY	FACILITY NUMBER: 543810171
	VISIT DATE: 08/03/2022

NARRATIVE

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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 24 preschool children.

LPA reviewed with Title, name, the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
The following documents should be posted at the facility:
* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule
* Lead Poisoning brochure

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 Margaret McLain, Administrator.

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: Duane Matsubara
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:	DATE: 08/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2022

LIC809 (FAS) - (06/04)

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