Internal Web Data

Department of
SOCIAL SERVICES

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 163801995
Report Date: 03/07/2018
Date Signed 03/07/2018 03:45:38 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 CENTER		FACILITY NUMBER:	163801995
ADMINISTRATOR:	GONZALEZ, PATRICIA		FACILITY TYPE:	830
ADDRESS:	601 E. MARIPOSA AVENUE		TELEPHONE:	(559) 386-2826
CITY:	AVENAL	STATE: CA	ZIP CODE:	93204
CAPACITY:	21	CENSUS: 8	DATE:	03/07/2018
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Patrica Gonzalez		TIME COMPLETED:	04:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	An unannounced Annual/Random visit conducted today by Licensing Program Analysts (LPAs) Robert Gutierrez and Rene Mancinas Jr. LPAs met with Site Supervisor, Patricia Gonzalez. There are no bodies of water or firearms on the premises. Disinfectants, cleaning solutions are inaccessible to children. No poisons were observed during today’s inspection. 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. 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. 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. The name of the new child care center director or fully qualified teacher(s) designated to act in the director's absence is reported to the Department within 10 days of a change. The facility ensures that staff being utilized as infant teachers during the compliance review meet the qualification requirements. 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. Days and hours of operation are Monday through Friday; 7:00 AM to 5:00 PM. Continued on 809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert Gutierrez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2018

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2018

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: WEST HILLS COLLEGE AVENAL INFANT CENTER	FACILITY NUMBER: 163801995
	VISIT DATE: 03/07/2018

NARRATIVE

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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

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

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert Gutierrez	TELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2018

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2018

LIC809 (FAS) - (06/04)

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