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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810185
Report Date: 06/03/2022
Date Signed: 06/03/2022 11:59:49 AM

Document Has Been Signed on 06/03/2022 11:59 AM - It Cannot Be Edited

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:FEOC RICHARD KEYES HEAD STARTFACILITY NUMBER:
103810185
ADMINISTRATOR:MARIA ISABEL MARMOLEJOFACILITY TYPE:
850
ADDRESS:1620 W FAIRMONT AVETELEPHONE:
(559) 263-1205
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 0DATE:
06/03/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
07:30 AM
MET WITH:Maria Isabel MarmolejoTIME COMPLETED:
12:30 PM
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On June 3, 2022, Licensing Program Analysts (LPA) Cynthia Brannon, Joe Pacheco and Licensing Program Manager Michael Duarte, conducted an announced pre-licensing inspection and met with Center Director, Maria Isabel Marmolejo. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. This is a new facility and the applicant is requesting 80 preschool children ages 2-6 years old. This program will operate year-round. This facility will provide three part time options: Monday through Friday from 8:00 AM to 2:00 PM, no napping, 8:00 AM to 11:30 AM and 12:30 to 4:00 PM. This program will operate in four classrooms. Parents will bring their children to their classroom. Staff will conduct temperature checks when children arrive in the classroom. Center Director, Maria Isabel Marmolejo, stated that staff and children use masks while indoors.

Center Director, Maria Isabel Marmolejo, stated that the center will provide a morning snack, & afternoon snack, breakfast and lunch. Lunch will be provided by main kitchen. There is a kitchen on site. The half door leading into the kitchen is locked. The knives and sharp utensils are stored in the counter and some cleaning items are stored underneath the kitchen sink. Staff will utilize the staff bathroom that's by staff offices. Ill children will be isolated in center director’s office and utilize the staff bathroom.

The classrooms were 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. LPA also reminded center director to not store anything on top of high bookcases that could potentially fall on children. There is a working carbon monoxide detector in classrooms.

LPA reviewed with Center Director, Maria Isabel Marmolejo, that any future changes to the classrooms are required to be inspected to ensure that furniture does not tip over on to children, the furniture are to be anchored or situated so that tipping does not occur. Classroom changes of furniture shall be situated that 100% visual supervision is always provided to children in care.

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2022
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: FEOC RICHARD KEYES HEAD START
FACILITY NUMBER: 103810185
VISIT DATE: 06/03/2022
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Per Center Director, bathroom procedures when taking children to the restroom are Staff will be escorting the children to the classroom through the building or use the outside path, depending upon the weather.

Room measurements were taken and reviewed with Center Director, Maria Isabel Marmolejo. The total inside preschool area measured to an approximate 3,452 square feet which will accommodate the requested capacity of 80 preschool children. There is adequate storage space available for children's belongings in the classroom. Center Director, Maria Isabel Marmolejo understands that children's equipment needs to match the capacity she is licensed for. Toys and equipment appear to be age appropriate. There is a total of 8 toilets and 6 sinks/hand washing fixtures which will accommodate the requested capacity of 80 preschool children.

The approximate outside square footage for the preschool area is 3393 square feet. An outside waiver for not having the required outside space has been requested and received. The preschool play area is fenced and gated. LPA observed age appropriate toys and climbing structure with age appropriate sign. There is shade available where children can rest. Licensee will be using an igloo with a disposable cup dispenser and disposable cups for non-contaminating drinking water.

In classroom A, there is a partial brick wall, floor to ceiling, that obstructs staff visual observation of children. Licensee is to ensure that staff is in areas where children are located to provide the required supervision.

A fire clearance of 80 preschool children was approved and granted by Fresno Fire Department on 5/12/22.

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

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
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: FEOC RICHARD KEYES HEAD START
FACILITY NUMBER: 103810185
VISIT DATE: 06/03/2022
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Center Director, Maria Isabel Marmolejo 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.

This facility does not provide care to infants. LPA discussed the safe sleep regulations with Center Director, Maria Isabel Marmolejo and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Center Director, Maria Isabel Marmolejo, 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 issuing a license by 7/3/22.

Inside Daycare


Classrooms A to D
1) Cubbies, shelving units, play kitchen components are to be anchored.
2) Non-contaminating drinking water for children.
3) Classroom D has a mounted air purifier that is loose.
Girls Restroom
1) Large stall has rust behind toilet.
2) Toilet floor screws are not made inaccessible to children in care.

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
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: FEOC RICHARD KEYES HEAD START
FACILITY NUMBER: 103810185
VISIT DATE: 06/03/2022
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Boys Restroom
1) Large stall area has rust behind toilet.
2) Toilet floor screws are not made inaccessible to children in care.
3) The two urinals on one side is too high for preschool children.
4) There is rust on the urinal stalls.
5) The sink counter has exposed wood.
6) One urinal stall is not working
7) All three stalls have exposed/jagged holes on the wall and/or metal stall wall.
Outside Play Area
1) Licensee is using rubber mats as cushioning under the climbing structure. This material is not an approved material used for cushioning. Please provide a play yard inspection by a certified playground inspector or documentation from the manufacturer’s specifications indicating the rubber mats for cushioning is an acceptable for surface underneath the play structure. Licensee is to provide inspector’s findings with a waiver request to use the rubber mats.
2) Secure the black netting on fence. There are gaps on the bottom and on one side. The gaps allow for foot holds for child to escape area.
3) The two gates leading from play yard to parking lot requires alarms.
4) Exterior stucco has fallen off in several areas: doorways, holes in the exterior walls, stucco near parking lot.
5) Stucco is missing in areas, leaving gaps that allow interior wood exposed to environment and vermin.
6) There are wires hanging on the roof in two different areas.
7) There are exposed pipes.
8) There are gaps in the outside brick area.
9) The brown rain down pour spout is bent metal, leaving sharp metal.

LPA is recommending that licensee install cushioning around the shade structure poles. This will assist in preventing children who run into the poles to sustain serious injuries.

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
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: FEOC RICHARD KEYES HEAD START
FACILITY NUMBER: 103810185
VISIT DATE: 06/03/2022
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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 80 preschool children.

LPA reviewed with Center Director, Maria Isabel Marmolejo, the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

The following documents should be posted at the facility:


* PUB 269- Child passenger restraint systems poster 101225(f) Transportation
* Pub 393- Notification of Parents Rights 101218.1(c) Admission Procedures
* License 101160(a) License
* Menus 101227(a)(6) Food Services
* LIC 613A- Personal Rights form 101223(b)(2) Personal Rights
* LIC 610- Disaster Plan 101174(a)
* LIC 9148- Earthquake Preparedness Checklist 101174(b)
* Activity Schedule
* Lead Poisoning brochure

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Center Director, Maria Isabel Marmolejo.

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: www.ccld.ca.gov
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2022
LIC809 (FAS) - (06/04)
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