Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125406576
Report Date: 02/28/2018
Date Signed: 02/28/2018 10:12:44 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:GREAT BEGINNINGS PRESCHOOLFACILITY NUMBER:
125406576
ADMINISTRATOR:JOHNSON, KARENFACILITY TYPE:
850
ADDRESS:609 SUMMER STTELEPHONE:
(707) 725-9136
CITY:FORTUNASTATE: CAZIP CODE:
95540
CAPACITY:30CENSUS: 25DATE:
02/28/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Karen JohnsonTIME COMPLETED:
10:30 AM
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An inspection was made to the facility by LPA, Snow who met with Director Karen Johnson. The facility file was reviewed prior to this visit. A review of the personnel report on file indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Operating hours are 8:30 AM-Noon Mon-Fri. The facility was toured inside and outside and the floor and yard plan were verified. The items which could pose a danger to children (detergents, cleaning compounds and medications) were inaccessible to children. Poisons are locked in cabinets. The facility was free of flies, insects and rodents. The toys, floors, desks and other equipment and surfaces appeared clean, toxic free, safe and in good condition. There is uncontaminated drinking water available to children both indoors and outdoors. The children's bathrooms appeared in safe and sanitary condition. A current menu was posted; the parents provide snacks. Food prep areas are clean. Food is properly stored and refrigerated as needed. Garbage cans containing solid waste have tight fitting lids. The playground was free of hazards. The playground equipment and surface areas appeared in safe condition. There is grass cushioning underneath climbing structures and/or play equipment sufficient to absorb falls. There were no bodies of water observed. The Director stated no weapons are stored on site and none were observed. During today's inspection, staffing ratios were being met and children were being properly supervised. The facility was operating within the licensed capacity.

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SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2018
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
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME: GREAT BEGINNINGS PRESCHOOL
FACILITY NUMBER: 125406576
VISIT DATE: 02/28/2018
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Staff have the Mandated Abuse Training as required every 2 years. At least one staff member present possessed current CPR and First Aid certifications. Children’s records were reviewed and contained identification forms with authorized representative information. Staff records were reviewed and contained documentation of education and training, as required. This facility is / is not providing Incidental Medical Services – IMS. Incidental Medical Services (IMS) policy was discussed. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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: ww.ada.gov/childqanda.htm. This report, as well as the AAP Guide to Safe Sleep Practices brochure, were reviewed and discussed with the Director. All licensing reports are public information and must be made available upon request for at least three years. There were no violations cited during todays visit.

Notice of Site Visit shall be posted for 30 days from today's visit.

The following is requested to update the facility file within 30 day;
Administrative Organization (LIC 309) with the date of terms (if terms don't expire then write "no expiration")

Documents required of Administrator:
Applicant Information (LIC 215)
Health screening (LIC 503)
Must have criminal record clearance and association to facility. Send transfer document with copy of photo ID if necessary.
LIC 508 (Criminal Record Statement)
Board Resolution naming the Administrator
LIC 308 (Designation of Administrative Responsibility
SUPERVISOR'S NAME: Megan AvilesTELEPHONE: (530) 895-5984
LICENSING EVALUATOR NAME: Jaime SnowTELEPHONE: (530) 215-6132
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2018
LIC809 (FAS) - (06/04)
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