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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808930
Report Date: 07/12/2021
Date Signed: 07/12/2021 09:31:50 PM

Document Has Been Signed on 07/12/2021 09:31 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:FAMILY F.O.C.U.S. WHITENDALE PARK INFANT/TODDLERFACILITY NUMBER:
543808930
ADMINISTRATOR:TANNER, PRUDY JFACILITY TYPE:
830
ADDRESS:600 W BEECH AVETELEPHONE:
(559) 802-5910
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 12TOTAL ENROLLED CHILDREN: 0CENSUS: 3DATE:
07/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mary GwinnTIME COMPLETED:
02:30 PM
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On 7/12/2021, Licensing Program Analyst (LPA) Theresa Marquez conducted an unannounced Annual inspection and met with Site Supervisor Mary Gwinn. LPA Marquez toured the facility, both indoors and outdoors. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance.

This is a full day program operating year round 7:30AM to 4:15PM, Monday through Friday. Required Community Care Licensing (CCL) forms are posted on the parent's board.

Furniture and equipment are in good condition. All materials and surfaces accessible to children are toxic free. Each crib, mat or cot is occupied by only one infant at time and cribs are kept free from all loose articles including blankets and pillows and there are no objects hanging above or attached to the crib. Infants are not swaddled while in care. Staff physically check on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing. Documentation for infants up to 12 months includes sleeping position if it is other than on their back. Individual Infant Sleeping Plan is completed and in file for each infant up to 12 months of age. Infants up to 12 months of age are placed on their backs for sleeping. Staff-infant ratio requirements are being met while infants are sleeping.

All floors are clean and safe. The facility provides breakfast, lunch and a PM snack. All kitchen, food prep, and storage areas are clean, free of litter, rubbish, and rodents/vermin. Menus are posted at least one week in advance, where an authorized representative can view them. All toilets and hand washing facilities are in safe and sanitary operating conditions. No poisons were observed during today’s inspection.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: FAMILY F.O.C.U.S. WHITENDALE PARK INFANT/TODDLER
FACILITY NUMBER: 543808930
VISIT DATE: 07/12/2021
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Playground equipment is in good condition, free of sharp, loose, or pointed parts.
Areas around high climbing equipment and slides have cushioning material to absorb falls. Uncontaminated drinking water is available both indoors and outdoors.
There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. Facility has a fire pull alarm system, fire extinguishers and one or more functioning carbon monoxide detectors that meet statutory requirements.

Staff records contain appropriate, documentation of education credits. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. The person, who signs the child in/out uses their full legal signature and records the time of day. Child's admission agreement is available for review. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility.

This facility does not provide Incidental Medical Services (IMS). For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.

Exit interview was conducted with Mary Gwinn. LPA provided Gwinn with a copy of the Facility Evaluation Report (LIC 809) and the Notice of Site Visit form (LIC 9213).



The LIC 809 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021
LIC809 (FAS) - (06/04)
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