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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 394500525
Report Date: 01/06/2022
Date Signed: 01/06/2022 11:41:03 AM

Document Has Been Signed on 01/06/2022 11:41 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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME:FIRST BAPTIST CHILD DEVELOPMENT CENTERFACILITY NUMBER:
394500525
ADMINISTRATOR:BERNAL, CARMENFACILITY TYPE:
850
ADDRESS:1511 CATHERINE AVETELEPHONE:
(209) 644-2627
CITY:ESCALONSTATE: CAZIP CODE:
95320
CAPACITY: 32TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/06/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Linda CraigTIME COMPLETED:
12:00 PM
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Application Specialist (AS) Alecia Sifuentes and Licensing Program Analyst (LPA) Christopher Jackson met with Applicant, Linda Craig for the purpose of an announced pre-licensing inspection. Applicant requests a preschool license to serve 24 preschool children from age three to entry into kindergarten and 8 toddlers age 18 to 36 months under a Toddler Option Program. The program will operate Monday through Friday from 5:30 a.m. to 4:00 p.m. The fire clearance was granted and received on 11/18/2021.

Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, car seat poster, menus, and daily schedule. AS discussed the forms that must be in each child's and each staff member's file. AS discussed LIC311A, Effects of Lead Exposure brochure, and new immunization card. The facility will provide breakfast, lunch, and snack.

INDOOR ACTIVITY SPACE:
There is one preschool classroom and one toddler classroom. AS observed a sufficient amount of equipment, toys, tables, chairs, cubbies, and napping cots. The first aid kit is located in each classroom and medication is stored in the office. AS observed cleaning disinfectants are appropriately stored and inaccessible to children. Applicant stated there are no poisons or firearms on the premises. AS observed water cooler in the classrooms. AS observed a functional dual smoke and carbon monoxide detector in each classroom. AS observed a sign-in/sign-out binder.

Report continues on 809-C
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE: DATE: 01/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2022
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: FIRST BAPTIST CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 394500525
VISIT DATE: 01/06/2022
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AS measured two classrooms. The total preschool classroom space contains a total of 709.4842 square feet, which will only accommodate 20 preschool children. The total toddler classroom space contains a total of 293.883 square feet, which will accommodate Applicants request for 8 toddler children. There are four toilets and six sinks for the children, and a separate private restroom for the staff. Individual measurements are recorded on the Capacity Worksheet (LIC 9024). Children who become ill during the day will be isolated in the office area and will use the staff restroom, if necessary.

OUTDOOR ACTIVITY SPACE:
There is one outdoor area on the property. The outdoor area is shared by the toddler and preschool children. The outdoor play area is fenced with a chain link fence that is at least four feet tall and separates the preschool yard from infant yard. AS observed a sufficient amount of equipment and toys. There are no bodies of water on the premises. There are shaded areas supplied by trees and overhangs.

AS measured the outdoor activity space. The outdoor play area contains a total of 4399.619 square feet, which will accommodate Applicant's request for 24 preschool children and 8 toddlers. Individual measurements are recorded on the Capacity Worksheet (LIC 9024).

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

Report continues on 809-C.
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2022
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, 2525 NATOMAS PARK DR. STE 250
SACRAMENTO, CA 95833
FACILITY NAME: FIRST BAPTIST CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 394500525
VISIT DATE: 01/06/2022
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AS discussed the following: 100% supervision is required at all times, including in the bathroom; personal rights; inspection authority; reporting requirements; staff to children ratios and capacity; staff qualifications; and maintaining buildings and grounds. AS discussed with Applicant any changes that may occur regarding the director or an employee acting in the director's absence must be reported to department within 10 working days.

This facility evaluation report was reviewed and discussed with Applicant. Applicant was encouraged to the visit the Department's website at WWW.CDSS.CA.GOV for information regarding child care updates, forms, regulations and legislation pertaining to child care centers. AS provided and discussed Health and Safety Code 1596.955 regarding the toddler option with Applicant.

The following items are required before a license will be issued:
1. Updated Fire Inspection Report (STD850)
SUPERVISORS NAME: Jeanne Smith
LICENSING EVALUATOR NAME: Alecia Sifuentes
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2022
LIC809 (FAS) - (06/04)
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