503810246-7-14-2023-04-CC-JPAO-CTQRV3-20230714132052

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 503810246
Report Date: 07/14/2023
Date Signed: 07/14/2023 01:20:56 PM

Document Has Been Signed on 07/14/2023 01:20 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:	WATERFORD CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	503810246
ADMINISTRATOR:	DIANE CALLAHAN		FACILITY TYPE:	830
ADDRESS:	219 N REINWAY AVE		TELEPHONE:	(209) 874-3301
CITY:	WATERFORD	STATE: CA	ZIP CODE:	95386
CAPACITY: 11	TOTAL ENROLLED CHILDREN: 11	CENSUS: 0	DATE:	07/14/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Diane Callahan - Director		TIME COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 7/14/23, Licensing Program Analyst (LPAs) Joseph Pacheco conducted an announced prelicensing inspection and met with Director, Diane Callahan. LPA explained the reason of the inspection and a tour of the center was conducted both inside and outside. The Licensee is currently licensed to operate a preschool age program on this site but is requesting a license to operate an infant program with a capacity of 3 infants with a toddler option component with a capacity of 8 by converting Classroom 3. This program will operate year round Monday – Friday, 7:30am – 4:00pm. Licensee is Waterford Unified School District. Parents will sign their children in and out at each classroom. Staff conduct daily health checks and conduct a risk assessment. Director stated that the center will provide breakfast, lunch and PM snack. The meals are prepared off-site at Richard Moon Elementary school and delivered daily. Facility will provide infant formula and diapers. Ill children will be isolated in the teacher’s office in the same building but physically separate from the classroom and utilize the bathroom in the administrative building. 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, 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. LPA observed that each changing table is within arms reach of a sink. LPA 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 that is part of the facility’s smoke detector system and is installed throughout the building. 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 1 Teacher to 6 Toddlers and will follow the regulations. CONTINUED ON 809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: WATERFORD CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 503810246
	VISIT DATE: 07/14/2023

NARRATIVE

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Room measurements were taken and reviewed with Director. The total inside infant area measured to an approximate 209 square feet which will accommodate the requested capacity of 3 infants. The total inside toddler area measured to an approximate 479 square feet which will accommodate the requested capacity of 8 toddlers. Director understands that children's equipment needs to match the licensed capacity. Toys and equipment appear to be age appropriate.
Licensee is doing the following to provide accessible drinking water to children in care: Licensee is utilizing a sink with filtered water in the classroom to provide water and has paper cups with a cup dispenser. Staff will fill up an igloo jug up water and bring it outside so children can refill their cups during outside play.
The approximate outside square footage for the infant area is 2079 which will accommodate requested capacity of 3 infant children and 8 toddlers option children. Each component does not have its own exclusive outdoor activity area and License has requested a waiver to share the outdoor area at different times.
LPA observed age appropriate toys and play equipment. High climbing play equipment with adequate cushioning was observed. Shade is provided by a tarp. LPA reminded Director to provide adequate supervision at all times.
A fire clearance for 3 infant children and 8 toddler children was approved and granted by the Stanislaus County Fire Department on 6/27/23.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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.

Staff will be fingerprint cleared through Waterford Unified School District as a condition of employment.

The following items must be completed prior to issuing a license by 7/21/23 or sooner.
Inside Daycare:
1) Purchase a potty training chair or a training seat for the existing toilet.

Pending a final file review and completion of the above item, a recommendation will be made to license the above facility for the requested capacity of 3 infant children and 8 toddler option children.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: WATERFORD CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 503810246
	VISIT DATE: 07/14/2023

NARRATIVE

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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

Director was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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 platforms.
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 the Director, Diane Callahan.

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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2023

LIC809 (FAS) - (06/04)

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