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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801717
Report Date: 03/16/2023
Date Signed: 03/16/2023 12:24:02 PM

Document Has Been Signed on 03/16/2023 12:24 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:CHILD DEV. STATE PRESCHOOL CLOVIS ELEMENTARYFACILITY NUMBER:
103801717
ADMINISTRATOR:LOGAN, TARAFACILITY TYPE:
850
ADDRESS:1100 ARMSTRONGTELEPHONE:
(559) 327-9181
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 16DATE:
03/16/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Erka Whitney - Preschool Program SupervisorTIME COMPLETED:
12:30 PM
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On 3/16/23 Licensing Program Analyst (LPA) Joseph Pacheco arrived at the facility to conduct an unannounced case management inspection. This facility is located on the northeast corner of Clovis Elementary School. LPA met with Clovis Unified Preschool Program Supervisor, Erika Whitney and explained the reason for the inspection. On 3/13/23 facility reported to Community Care Licensing that due to a plumbing issue the two toilets and two sinks located inside the classroom are not working. Facility has requested to temporarily use the restrooms located in Kindergarten Classroom K1, which is located two buildings over, until 3/24/23 when the repairs are scheduled to be completed. LPA observed the restroom located in the Kindergarten classroom. LPA observed two stalls that contain one toilet in each stall, totaling two toilets. LPA observed one handwashing station outside the bathroom, inside the Kindergarten Classroom. Staff will be escorting the children to and from the preschool classroom to the Kindergarten classroom to use the restroom. Staff understand that preschool children are not to be using the bathrooms at the same time as Kindergarten children and that visual supervision of the children is to be maintained at all times. LPA observed the bathrooms to be in a safe condition with no hazards. Licensee understands they are to contact Community Care Licensing if the preschool bathrooms are not ready for use by 3/24/23.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Preschool Program Supervisor, Erika Whitney

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/16/2023
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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