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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810204
Report Date: 09/27/2022
Date Signed: 09/27/2022 01:01:18 PM

Document Has Been Signed on 09/27/2022 01:01 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:SUNNY GROVE PRESCHOOL & CHILDCAREFACILITY NUMBER:
503810204
ADMINISTRATOR:ELISHA HAWKINSFACILITY TYPE:
830
ADDRESS:3600 SISK RD BLDG 3 STE ATELEPHONE:
(209) 735-9932
CITY:MOESTOSTATE: CAZIP CODE:
95356
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 0DATE:
09/27/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Elisha Hawkins - DirectorTIME COMPLETED:
01:15 PM
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On September 27, 2022, Licensing Program Analysts (LPAs) Joseph Pacheco and Cynthia Brannon conducted an announced prelicensing inspection and met with Director, Elisha Hawkins. LPAs 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 an infant license for 12 infants, ages 0-2 years old. Facility will be caring for 6 crib intants and 6 non-crib infants. This program will operate year round Monday – Friday, 6:30am – 6:00pm. This program will operate in Classroom One. Licensee is Sunny Grove Education Corporation. Parents will bring their children into the classroom and sign them in, staff conduct daily health checks and conduct a risk assessment. Director stated that it is optional for staff and children to use masks while indoors. LPAs reminded Director that the Public Health Department and CDC strongly recommends for staff and children to wear face masks.

Director stated that the center will provide breakfast, lunch, AM snack and PM snack. The meals are prepared onsite. Ill children will be isolated in the Director’s office and utilize the adult bathroom in Classroom 3.

The classrooms were observed to be clean and free of toxins. LPAs observed that the furniture and equipment appeared to be safe and in good condition. There are enough tables, chairs, cots, cribs and plenty of toys for children to play. Director stated that parents will provide sheets for their child’s crib or cot for napping. LPAs also reminded Director not to store anything on top of high bookcases/storage cabinets that could potentially fall on children. There is a working carbon monoxide detector inside the classroom.



LPA reviewed with Director, that any future changes to the classrooms 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. Director is aware the ratio is 1 Teacher to 4 infants and will follow the regulations.

CONTINUED ON 809-C

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022
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: SUNNY GROVE PRESCHOOL & CHILDCARE
FACILITY NUMBER: 503810204
VISIT DATE: 09/27/2022
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Room measurements were taken and reviewed with Director. The total inside preschool area measured to an approximate 534 square feet which will accommodate the requested capacity of 12 infants. Director understands that children's equipment needs to match the licensed capacity. Toys and equipment appear to be age appropriate.

Licensee is providing the following to provide accessible drinking water to children in care: LPAs did not observe water indoors from a non-contaminated fixture. For the outside drinking water, licensee is providing an igloo with disposable cup dispenser with disposable cups.

The approximate outside square footage for the infant area is 478 which will not accommodate requested capacity of 12 Infant Children. Licensee is requesting a waiver to alternate 6 infants in the outdoor play area at one time. During inspection of the outdoor play area, LPA’s observed two tiles missing on the roof. Director stated that the landlord has been notified.

LPA observed age appropriate toys and play equipment. No high climbing play equipment was observed. Licensee has a shade structure where children can rest and get water. LPA reminded Director to provide adequate supervision at all times.

A fire clearance of 12 infant children was approved and granted by the City of Modesto Fire Department on September 22, 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 The medication for the children will be kept in the classroom in an inaccessible locked cabinet.

Director 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.

CONTINUED ON 809-C

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022
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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: SUNNY GROVE PRESCHOOL & CHILDCARE
FACILITY NUMBER: 503810204
VISIT DATE: 09/27/2022
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LPA discussed the safe sleep regulations with Director 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 Director, 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 10/6/22 or sooner

Inside Daycare:


1) Purchase indoor water dispenser for Classroom 1
2) Fix electrical outlet cover so hole is removed.
3) Cover light fixtures above crib area in Classroom 1.
4) Replace broken ceiling panel in Classroom 1

Outside Daycare:
1) Replace the one or two missing tiles on the roof.
2) License number to be included on the advertising banner.

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 12 infant children.

CONTINUED ON 809-C
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022
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: SUNNY GROVE PRESCHOOL & CHILDCARE
FACILITY NUMBER: 503810204
VISIT DATE: 09/27/2022
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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 Director, Elisha Hawkins.


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: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2022
LIC809 (FAS) - (06/04)
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