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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203810195
Report Date: 11/14/2022
Date Signed: 11/14/2022 04:00:55 PM

Document Has Been Signed on 11/14/2022 04:00 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:KIDZ CAN 2 OAKHURSTFACILITY NUMBER:
203810195
ADMINISTRATOR:ALEJANDREZ, NANCYFACILITY TYPE:
840
ADDRESS:40088 INDIAN SPRINGS RDTELEPHONE:
(559) 683-7654
CITY:OAKHURSTSTATE: CAZIP CODE:
93644
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
11/14/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Nancy AlejandrezTIME COMPLETED:
04:30 PM
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On November 14, 2022, Licensing Program Analysts (LPAs) Brannon and McWilliams conducted an announced pre-licensing inspection and met with applicant, Nancy Alejandrez. LPA reviewed the reason of the inspection and a tour of the center was conducted both inside and outside. This is a change of Ownership from previous Facility -Indian Springs Child Center. The applicant is requesting a capacity of 24 school age children ages 6 to 12 years old. This program will operate year-round. This facility will provide full-time and part time options from 6:30 AM to 6:00 PM Monday through Friday. The school age program will operate in one classroom. Parents will bring their child(ren) into lobby area where staff conduct temperature checks and then child(ren) are escorted to their classroom. Applicant, Nancy Alejandrez, stated that staff and children do not use masks while indoors. LPA reminded applicant, Nancy Alejandrez , that the Public Health Department and CDC strongly recommends for staff and children to wear face masks.

Applicant, Nancy Alejandrez stated that the center will provide a morning snack, afternoon snack, breakfast and lunch. There is a kitchen on site. There's a latch in place so children do not have access to it. The knives and sharp utensils are stored in the counter and some cleaning items are stored underneath the kitchen sink. There is hot running water in the kitchen. Staff will utilize the staff bathroom that's inside the school age classroom. Ill children will be isolated in the director's office and utilize the staff bathroom.

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, cots, and plenty of toys for children to play. LPA also reminded applicant, Nancy Alejandrez, not to store anything on top of high bookcases that could potentially fall on children. There is a working carbon monoxide in facility.

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SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/14/2022
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: KIDZ CAN 2 OAKHURST
FACILITY NUMBER: 203810195
VISIT DATE: 11/14/2022
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LPA reviewed with applicant, Nancy Alejandrez, that any future changes to the classroom 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 applicant, Nancy Alejandrez. The total inside school age area measured to an approximate 864 square feet which will only accommodate the requested capacity of 24 school age children at a time. There is adequate storage space available for children's belongings in the classroom. Applicant, Nancy Alejandrez, understands that children's equipment needs to match the capacity she is licensed for. Toys and equipment appear to be age appropriate. Applicant, Nancy Alejandrez, is utilizing a water pitcher, disposable cups with disposable cup dispenser. Applicant is purchasing drinking water from Sparklett's.

The approximate outside square footage for the preschool area is 11544 which will accommodate requested capacity of 24 School Age Children. The school age play area is gated and fenced. LPA observed age appropriate toys, climbing equipment and swings. Applicant is using sand to cushion fall zones. Applicant, Nancy Alejandrez, provided a copy of purchasing invoice for sand to be used as cushioning. There is shade available where children can rest and get water. Applicant is using mature trees and covered patio to provide shade to children in care. LPA reminded applicant, Nancy Alejandrez, to provide adequate supervision at all times. There is a locked shed in the outside play yard.

A fire clearance of 24 preschool children and 24 school age was approved and granted by the Madera CFD on 11/4/2022.

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: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
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: KIDZ CAN 2 OAKHURST
FACILITY NUMBER: 203810195
VISIT DATE: 11/14/2022
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Applicant, Nancy Alejandrez, 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/does not provide care to infants. LPA discussed the safe sleep regulations with applicant, Nancy Alejandrez 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 applicant, Nancy Alejandrez, 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 11/29/2022. LPA will conduct a return inspection before a license can be issued:

Inside Daycare:


● Cubbies need to be anchored.
● Play furniture components and shelving units are to be anchored.
● Ceiling light cover is broken.
● The school age restroom will need the correct size toilets, stalls and install door stalls.

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

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
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: KIDZ CAN 2 OAKHURST
FACILITY NUMBER: 203810195
VISIT DATE: 11/14/2022
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Outside Play Area:

● Remove the chain on swing.

● Exposed wood trim needs to be painted on shed.

● Two screws sticking out of exterior wall.

● The metal play structures have metal exposed on the play structures, including the metal steering wheel.

● Replace the board above the gate.

Pending a final file review, completion of above items, a return inspection, a recommendation will be made to license the above facility for the requested capacity of 24 school age children.

LPA reviewed with applicant, Nancy Alejandrez, 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

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

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
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: KIDZ CAN 2 OAKHURST
FACILITY NUMBER: 203810195
VISIT DATE: 11/14/2022
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Per applicant, Nancy Alejandrez, there will be a sweet and candy snacks that will be provided to children to buy. Parents will buy the sweets for the children as they are leaving.

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 applicant, Nancy Alejandrez.

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

DATE: 11/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2022
LIC809 (FAS) - (06/04)
Page: 5 of 5