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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543810218
Report Date: 07/14/2022
Date Signed: 07/14/2022 11:10:36 AM

Document Has Been Signed on 07/14/2022 11:10 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:EUSD PS PROGRAM-ROCKY HILL ELEMENTARYFACILITY NUMBER:
543810218
ADMINISTRATOR:GEORGE EDDYFACILITY TYPE:
850
ADDRESS:313 SEQUOIA DRTELEPHONE:
(559) 592-2141
CITY:EXETERSTATE: CAZIP CODE:
93221
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: DATE:
07/14/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Melina De La Cruz, Preschool DirectorTIME COMPLETED:
11:15 AM
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On 07/14/2022, Licensing Program Analyst (LPA) Pete Espinoza conducted an announced prelicensing inspection and met with Melina De La Cruz, Preschool Director. 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 Rocky Hill Elementary School located at 313 Sequoia Dr. in Exeter. This is a new facility and the applicant is requesting a capacity of 24 preschool children ages 2-6 years old. This program operates on a traditional school year schedule, Monday - Friday with two sessions; 8:00 AM to 11:00 AM and 12:00 PM to 3:00 PM. This program will operate in Classroom 52. Breakfast, lunch, and snack is provided. Breakfast and lunch is provided by the District Central Kitchen. Food is prepared in the school cafeteria and transported to the classrooms. Ill children and staff will utilize the bathroom located in the nurses office. Ill children will be isolated in the nurses office.

Children will enter through gate located on south end of play area and walk directly to classroom. Parents will enter classroom to sign in/out children. LPA observed classroom 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 and plenty of toys for children to play. There is a working carbon monoxide detector inside the kitchen.

Room measurements were taken and reviewed with Director. The total inside preschool area measured to an approximate 887 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 is a total of 7 toilets and 6 sinks/hand washing fixtures which will accommodate the requested capacity of 24 preschool children. Bottled water/cooler will be provided for drinking inside and outside. Director submitted request for waiver to share restrooms with the condition that staff will escort children to and from the restroom and will not allow children from the elementary school to be commingled with the preschool children in the restroom.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2022
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
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: EUSD PS PROGRAM-ROCKY HILL ELEMENTARY
FACILITY NUMBER: 543810218
VISIT DATE: 07/14/2022
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The approximate outside square footage for the preschool play area is over 5,000 sq. ft. which will accommodate requested capacity of 24 Preschool Children. The preschool play area is gated all around and will be shared with the kindergarten classrooms. Director submitted request for waiver to share play area with the condition that children from preschool and kindergarten classrooms will be on the playground at alternate times during the day and staff will not allow children from the elementary school to be commingled with the preschool children in the play area.

LPA observed a bike path and two (2) separate structures in the play area. Applicant is using pour-n-place rubber matting to cushion fall zones. There is shade available where children can rest and get water. LPA reminded Director to provide adequate supervision at all times and to not commingle school age children with preschool children. A fire clearance of 24 preschool children was approved & granted by the Tulare County Fire Department on 07/08/2022.

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.

This facility does/does not provide care to infants. 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
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022
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: EUSD PS PROGRAM-ROCKY HILL ELEMENTARY
FACILITY NUMBER: 543810218
VISIT DATE: 07/14/2022
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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 Melina De La Cruz, Preschool Director.

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: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022
LIC809 (FAS) - (06/04)
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