Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 200407399
Report Date: 12/06/2016
Date Signed: 12/06/2016 01:58:34 PM

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:JOYFUL NOISE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
200407399
ADMINISTRATOR:CEDERBLOM, LYNNFACILITY TYPE:
850
ADDRESS:40299 HWY 49TELEPHONE:
(559) 683-8663
CITY:OAKHURSTSTATE: CAZIP CODE:
93644
CAPACITY:84CENSUS: 43DATE:
12/06/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Lynn CederblomTIME COMPLETED:
02:15 PM
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
(3) Licensing Program Analyst (LPA) Catherine Chambers conducted an unannounced Annual/Random visit. LPA met with Director Lynn Cederblom. This preschool operates Monday through Friday from 6:30 am to 6:00 pm. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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

Neither firearms/weapons nor poisons are allowed or stored on the premises. Disinfectants, cleaning solutions, and other dangerous items are inaccessible to children.

All toilet and sinks are in safe, sanitary, and operating condition. All floors are clean and safe. All materials and surfaces accessible to children are toxic free. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts.

All kitchen, food prep, and storage areas are clean, free of litter, rubbish, and rodents/vermin. All food is protected from contamination, and contaminated food is discarded immediately. Solid waste storage vessels, including moveable bins, have tight-fitting covers and are in good repair. Uncontaminated drinking water is available both indoors and outdoors. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 (F) or less. Menus are posted at least one week in advance where an authorized representative can view them, are

SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 650-7856
LICENSING EVALUATOR NAME: Catherine ChambersTELEPHONE: (559) 341-4450
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2016
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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: JOYFUL NOISE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 200407399
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/06/2017
Section Cited
1597.622(c)
1
2
3
4
5
6
7
During the visit the licensee was unable to provide proof of measles, pertussis, and influenza immunizations.Failure to obtain the proper immunization presents a potential risk to the children in care.
1
2
3
4
5
6
7
Licensee shall submit proof of immunization's for staff to CCL by January 6, 2017.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Rebecca VarelaTELEPHONE: (559) 650-7856
LICENSING EVALUATOR NAME: Catherine ChambersTELEPHONE: (559) 341-4450
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2016
LIC809 (FAS) - (06/04)
Page: 3 of 3


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: JOYFUL NOISE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 200407399
VISIT DATE: 12/06/2016
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
26
27
28
29
30
31
32
dated and kept on file for 30 days, and are available on request. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. There are no bodies of water.

Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings, and slides have cushioning material to absorb falls. LPA verified that all employees are background cleared and associated to this facility. Staff records contain appropriate documentation of education credits. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. The person who signs the child in/out and is responsible for the child, uses their full legal signature and records the time of day. Child's admission agreement is available for review.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see LIC809-D)

Site Visit Notice posted on the parent board. Exit interview was conducted.

SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 650-7856
LICENSING EVALUATOR NAME: Catherine ChambersTELEPHONE: (559) 341-4450
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2016
LIC809 (FAS) - (06/04)
Page: 2 of 3