Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808853
Report Date: 02/20/2018
Date Signed 02/20/2018 10:07:25 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:BUILDING BLOCKS OF GRACEFACILITY NUMBER:
153808853
ADMINISTRATOR:GAUSE, LEAANNFACILITY TYPE:
850
ADDRESS:2550 JEWETTATELEPHONE:
(661) 589-0424
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:50CENSUS: 41DATE:
02/20/2018
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Leaann GauseTIME COMPLETED:
10:15 AM
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(2)An unannounced annual/random inspection is made today. Met with director, LeaAnn 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 month. 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. Children bring their own lunch. Hours of operation are Monday thru Friday, 9 am to 1 pm. 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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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

During the exit interview, director, LeaAnn Gause, confirmed that there are no Registered Sex Offenders living in the facility and/or using the facility address for their mailing address.

CONTINUED ON FOLLOWING PAGE

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2018
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: BUILDING BLOCKS OF GRACE
FACILITY NUMBER: 153808853
VISIT DATE: 02/20/2018
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LPA and licensee also discussed the Community Care Licensing Division's website, www.ccld.ca.gov. It is recommended that licensee's check the website often as the State of CA no longer mails updates to each licensee. LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) that allows licensee's to sign up and receive updates that are emailed directly. The website also has current information for providers including the Quarterly Update that inform licensee of new legislation and regulations. Per director, she has already signed up for this service.

Staff subject to a criminal record clearance or exemption are associated to the facility. First Aid/CPR reviewed and in compliance. Emergency information reviewed for some children. Staff records reviewed contain documentation of the educational background, training, and/or experience.



No deficiencies observed in the areas inspected during today's visit.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with director, LeaAnn Gause.

A COPY OF THIS REPORT MUST REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
NOTICE OF SITE VISIT FORM POSTED TO PARENT'S BOARD in presence of LPA Brannon.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2018
LIC809 (FAS) - (06/04)
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