<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406335
Report Date: 08/07/2024
Date Signed: 08/07/2024 04:32:56 PM

Document Has Been Signed on 08/07/2024 04:32 PM - 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FUSD-JEFFERSONFACILITY NUMBER:
100406335
ADMINISTRATOR/
DIRECTOR:
BECKWITH, KIMFACILITY TYPE:
850
ADDRESS:202 N. MARIPOSATELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: 0DATE:
08/07/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Charlotte MirandaTIME VISIT/
INSPECTION COMPLETED:
04:45 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
On 8/6/2024, Licensing Program Analyst (LPA) Priscilla Zamudio and Licensing Program Manager (LPM) Cynthia Brannon conducted an announced case management inspection and met with Charlotte Miranda, Health and Safety Supervisor. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The center is located at 202 N Mariposa Fresno, CA 93701, Jefferson Elementary School.

This is a change of classroom locations from room 27 to room 33. The facility will remain with the same capacity of 21, preschool children ages 2-6 years old. This program will operate during the traditional school year. Days and hours of operation are Monday-Friday, AM Session: 8:00 am-11:00 am, and PM Session 12:00pm-3:00pm. This program will operate in classroom 33.

This facility will continue to provide meals and snacks to children. Food is prepared at Jefferson Elementary School and will be served in the classroom. Ill children will be isolated in the nurse’s office or in the teacher’s desk area that is made inaccessible and utilize the staff bathroom. Currently, the teacher's area is made inaccessible with a baby gate. Per Charlotte Miranda, a door will be installed.

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, and plenty of toys for children to play. There is a working carbon monoxide detector inside the classroom.

LPA reviewed with Charlotte Miranda 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.

Room measurements were taken and reviewed with Charlotte Miranda, Health and Safety Supervisor. The total inside preschool area measured to an approximate 1049 square feet which will accommodate the requested capacity of 21, preschool children at a time. There is adequate storage space available for children's belongings in the classroom.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-JEFFERSON
FACILITY NUMBER: 100406335
VISIT DATE: 08/07/2024
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
Toys and equipment appear to be age appropriate. There are a total of 2 toilets and 2 sinks/hand washing fixtures which will accommodate the requested capacity of 21 preschool children. Drinking water is available both indoors and outdoors. It will be provided by a water dispenser and disposable cups. In addition, there are also water fountains inside and outside the classroom which will be tested for lead..

The approximate outside square footage for the preschool area is 5084 which will accommodate requested capacity of 21 Preschool Children. The preschool play area is gated all around. LPA observed age-appropriate toys, a bike path, and slides. There are rubber mat cushion materials used for fall zones. There is shade available where children can rest and get water. Per Charlotte Miranda, the children will be utilizing an igloo with water cup dispenser with disposable cups until water is tested.

A fire clearance of 21 preschool children was approved and granted by the Fresno City Fire Department on 7/25/24.

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

Charlotte Miranda was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-JEFFERSON
FACILITY NUMBER: 100406335
VISIT DATE: 08/07/2024
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
This facility does not provide care to infants. LPA also informed Charlotte Miranda, of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

The following items must be completed prior to approving use of the new classroom #33 by 8/22/2024.

Inside Daycare: (Examples)


· Water lead test for all outlets that will be used
. Maintain air conditioner at cool temperature

. Install window screens

Outside Play Area: (Examples)

· Fence bolts trimmed to 3-4 thread


. Mow lawn area
· Repair cracked building trim, gaps and sharp metal near the bottom, front of building
· Install playground structure age requirement signing

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 21 preschool children.

Exit interview conducted and report was reviewed with Charlotte Miranda, Health and Safety Supervisor.

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: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3