Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808902
Report Date: 10/15/2018
Date Signed 10/15/2018 11:39:37 AM

COMPREHENSIVE INSPECTION
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:FAMILY FOCUS PARKVIEW PRESCHOOLFACILITY NUMBER:
543808902
ADMINISTRATOR:TANNER-JEWELL, LUCINDAFACILITY TYPE:
850
ADDRESS:5911 S. MOONEY BLVDTELEPHONE:
(559) 627-0700
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:73CENSUS: 60DATE:
10/15/2018
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Linda CoffmanTIME COMPLETED:
12:15 PM
NARRATIVE
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On this date, Licensing Program Analyst (LPA) Kathy Pacheco and LPA Pete Espinoza conducted an unannounced required annual visit. LPAs met with Site Supervisor, Linda Coffman, who provided a tour of facility, inside and outside, as shown on the facility sketch. There are no bodies of water, firearms and/or ammunition on the premises. Disinfectants, hazardous items and medications are inaccessible to children. Storage area for poisons is locked and inaccessible to children. Furniture, equipment and materials are sufficient, age appropriate, in good repair and toxic free. The playground equipment and outdoor activity space is maintained and in good condition, free of hazards with adequate cushioning material. Children's toilets and hand washing facilities are sanitary and in good operating condition. Rooms and floors are safe and clean. Food preparation area is clean and free of rodent and other vermin. Contaminated food is discarded immediately, when applicable. Storage containers for solid waste are in good repair with tight-fitting covers. Sanitary drinking water is available both indoors and outdoors. The licensee is taking measures to keep the facility free of insects, rodents, etc. No excluded adults are present at the facility. Conditions, limitations and capacity specified on license are in compliance. Staff requiring criminal record clearance or exemptions are associated to the facility as indicated on LIS 536 – Facility Roster. First Aid/CPR reviewed and in compliance. Qualified staff designated to act in the Director’s absence has been reported accordingly. Sign In/Sign Out sheets have a full legal signature and time of day. Child #1 (see Confidential Names form (LIC 811) dated October 15, 2018) was not signed into the Butterfly classroom. Teacher/child ratios are maintained and adequate supervision is provided during visit. Menus are posted. A sample of children's and staff’s records reviewed. Children’s records include required medical and consent for emergency medical. Child #2's file (see LIC 811) did not contain immunization record. Staff records contain required documented health screening. Licensee provided proof of required immunization (Pertussis/Measles/Influenza) and/or written declaration declining flu shot. LPAs discussed required Mandated Reporter Training to be completed by 11/6/18.

Operating hours are Monday through Friday 7:30 AM – 5:30 PM
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2018
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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FAMILY FOCUS PARKVIEW PRESCHOOL
FACILITY NUMBER: 543808902
VISIT DATE: 10/15/2018
NARRATIVE
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This facility provides Incidental Medical Services – IMS. LPAs 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: http://www.ada.gov/childqanda.htm

The following is cited per Title 22, Division 12 of the California Code of Regulations, the following deficiencies are found: (see next page)

A COPY OF THIS REPORT MUST REMAIN IN THE FACILITY FOR PUBLIC REVIEW
LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS

The following documents should be posted at the facility:
* Pub 393- Notification of Parents Rights
* License
* Menus
* LIC 610- Disaster Plan
* LIC 9148- Earthquake Preparedness Checklist

To view e-learning modules: https://ccld.childcarevideos.org/
To order forms, etc. visit our website at www.ccld.ca.gov.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2018
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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FAMILY FOCUS PARKVIEW PRESCHOOL
FACILITY NUMBER: 543808902
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/15/2018
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/06/2018
Section Cited
CCR
101229.1(b)
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The person who signs the child in/out shall use his/her full legal signature and shall record the time of day. This requirement was not met as evidenced by LPA's review of Sign in/Sign out sheet for child #1 (see LIC 811) that did not have a parent signature for the morning of the inspection. This poses a potential risk to the
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Facility contacted parent immediately and requested parent to return to the facility to sign in child. LPA observed parent's signature on the sign in sheet. Citation cleared at today's inspection.
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health, safety, or personal rigths of children in care.
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Type B
11/13/2018
Section Cited
CCR
101220.1(g)
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The child’s immunizations shall be documented and maintained on file as long as the child is enrolled. This requirement was not met as evidenced by LPA's review of child #2's file (see LIC 811) that did not contain immunization docuementation. This poses a potential risk to the health, safety, or
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Facility contacted parent immediately and requested parent to provide child's immunization. LPA observed child #2's immunization documentation during inspection. Citation cleared at today's inspection.
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personal rights of children in care.
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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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2018
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2018
LIC809 (FAS) - (06/04)
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