Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801117
Report Date: 06/28/2017
Date Signed 06/28/2017 09:48:25 AM

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:KIDS KARE WESTFACILITY NUMBER:
103801117
ADMINISTRATOR:RAMIREZ, ANDREAFACILITY TYPE:
840
ADDRESS:3375 W. FIG GARDEN DRIVETELEPHONE:
(559) 438-1921
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:72CENSUS: 50DATE:
06/28/2017
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Andrea RamirezTIME COMPLETED:
12:00 PM
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An unannounced required 3 year inspection is made today by Licensing Program Analyst Rusty Wilson. Met with Director Andrea Ramirez. A tour of facility was conducted inside and outside. Staff and children were spoken to during visit. The following areas are in compliance during this visit: Facility has a swimming pool with appropriate fence. Fire arms and ammunition are not on the premises. Disinfectants, hazardous items and medications are inaccessible to children. Storage area for poisons is locked. Furniture and equipment are sufficient, age appropriate and in good repair. The playground equipment and outdoor activity space is maintained and in good condition with adequate cushioning material. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination, and storage containers for solid waste are covered. Drinking water is available both indoors and outside. Measures are taken to keep facility free of insects and rodents. Staff subject to a criminal record clearance or exemption are associated to the facility. Teacher/child ratios are maintained and adequate supervision is being provided during this visit. No excluded individuals are present. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets maintained. The facility is in compliance with the conditions, limitations and capacity specified on the license. Emergency information forms and medical assessment forms are reviewed for some children. Children's files also contain all required documentation. Health screening forms are reviewed for some staff. Menus are posted. Personnel files contain proof of measles and pertussis vaccinations as required. Some staff have a declination form for vaccination against influenza which is not required. Facility does not provide any incidental medical services at this time.

No deficiencies cited at today's visit.
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Rusty WilsonTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2017
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: KIDS KARE WEST
FACILITY NUMBER: 103801117
VISIT DATE: 06/28/2017
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated 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
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Rusty WilsonTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2017
LIC809 (FAS) - (06/04)
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