Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163801995
Report Date: 10/25/2016
Date Signed 10/25/2016 12:53:37 PM

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:WEST HILLS COLLEGE AVENAL INFANT CENTERFACILITY NUMBER:
163801995
ADMINISTRATOR:LEON, ANAFACILITY TYPE:
830
ADDRESS:601 E. MARIPOSA AVENUETELEPHONE:
(559) 386-2826
CITY:AVENALSTATE: CAZIP CODE:
93204
CAPACITY:21CENSUS: 17DATE:
10/25/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Patricia Gonzalez, Site SupervisorTIME COMPLETED:
01:30 PM
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(3) An unannounced Annual/Random visit conducted today by LPA Arnold Cortez. LPA met with Site Supervisor Patricia Gonzalez. There are no bodies of water or firearms on the premises. Disinfectants, cleaning solutions are inaccessible to children. Furniture and equipment are in good condition. The surface of the outdoor activity space is maintained in a safe condition, and is free of hazards. All storage containers for solid waste, including moveable bins, have tight fitting covers. The licensee takes measures to keep the facility free of flies, other insects, and rodents. The facility has age-appropriate furniture and equipment including, but not limited to, cribs, cots, or mats. A baby walker is not allowed on the premises. The facility has sufficient infant napping equipment. The facility has indoor activity space for infants that is physically separate from space used by preschool or school-age children. The child care center is clean, safe, sanitary, and in good repair at all times. Facility has one or more functioning carbon monoxide detectors. Bottles, dishes, and containers of food brought by the infant's authorized representative are labeled with the infant's name and the current date. While in use, infant changing tables are placed within arm's reach of a sink. The facility ensures that each infant is never left unattended, and under the direct visual supervision of a staff person at all times. The facility is in compliance with the staff-infant ratios required. Prior to working or volunteering in a licensed child care facility, all individuals subject to criminal record review have obtained a clearance or criminal record exemption. The licensee ensures that personnel records are maintained on the licensee, administrator, and each employee. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. A Site Supervisor Packet for Patricia Gonzalez was requested and due is due by 11/25/16. The facility ensures that staff being utilized as infant teachers during the compliance review meet the qualification requirements. Menus are posted at least one week in advance in a place visible by the child's authorized representative. At least one person trained in Pediatric CPR and First Aid is present when children are at the facility or at offsite activities. The facility has an individual feeding plan for each infant that meets the requirements. The facility ensures that each infant has an Infant Needs and Services Plan. Day and hours of operation are Monday through Friday; 7:00 AM to 5:00 PM.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.



Site Visit Notice posted on the parent board. Exit interview was conducted with site supervisor.
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Arnold CortezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2016
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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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: WEST HILLS COLLEGE AVENAL INFANT CENTER
FACILITY NUMBER: 163801995
VISIT DATE: 10/25/2016
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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

IMS guide provided. IMS - Plan of Operation to be submitted to CCLD by 11/25/16.

SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Arnold CortezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2016
LIC809 (FAS) - (06/04)
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