Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808853
Report Date: 02/03/2016
Date Signed 02/03/2016 02:09:16 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME:BUILDING BLOCKS OF GRACEFACILITY NUMBER:
153808853
ADMINISTRATOR:GAUSE, LEAANNFACILITY TYPE:
850
ADDRESS:2550 JEWETTATELEPHONE:
(661) 589-0424
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:50CENSUS: 22DATE:
02/03/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Lea Ann GauseTIME COMPLETED:
02:15 PM
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(1) An unannounced annual/random visit is made today. Met with director, Lea Ann Gause. A tour of facility was conducted inside and outside. Staff and children were spoken to during visit. The following areas are in compliance during visit: There are no bodies of water. Firearms and ammunition are not on the premises. Storage area for poisons is locked. Disinfectants, hazardous items and medications are inaccessible to children. Furniture and equipment are sufficient, age appropriate and in good repair. Fire drills are conducted every quarter. The playground equipment and outdoor activity space is maintained and in good condition. Wood chips is being used as cushioning around the climbing equipment. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Day care children bring their own lunch, and snacks. Drinking water is available both indoors and outside. The facility is in compliance with conditions and limitations specified on the license. Teacher/child ratios are maintained and adequate supervision is being provided during this visit. Sign in/sign out sheets maintained. No excluded individuals are present. Staff subject to a criminal record clearance or exemption are associated to the facility. First Aid/CPR reviewed and in compliance. Staff records reviewed contain documentation of health screening. Some children’s files were reviewed contain health assessment, and emergency information.
This facility does provide Incidental Medical Services (IMS). LPA informed director that the IMS plan is required to be in place. Licensee has until 3/3/16 to provide IMS plans.
Hours of operation are Monday thru Friday 9 am to 1 pm. During June thru July the center is opened Tuesday, Wednesday, and Thursday, 9 am to 1 pm.
Director has an appoint at 2:15 pm. LPA will return at a later date to continue with annual visit.
Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with the director,Lea Ann Gause.

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
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 243-8106
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 02/03/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2016
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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