Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808138
Report Date: 08/20/2015 12:00:00 AM
Date Signed 08/20/2015 11:55:32 AM

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:CERES CHRISTIAN PRESCHOOLFACILITY NUMBER:
503808138
ADMINISTRATOR:YEAGER, TAMMYFACILITY TYPE:
850
ADDRESS:3502 ROEDING ROADTELEPHONE:
(209) 380-9319
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY:72CENSUS: DATE:
08/20/2015
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Tammy YeagerTIME COMPLETED:
12:15 PM
NARRATIVE
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3)Licensing Program Analyst's (LPA's) Catherine Chambers and Claudia Henley made an unannounced Annual/Random visit. LPA's met with Director, Tammy Yeager (TJ) There are no bodies of water. Firearms/weapons are not allowed or stored on premises. All children are under supervision, including visual supervision, of a teacher at all times. The Department has inspection authority. There is a ratio of one teacher supervising no more than 12 children in attendance. Disinfectants, cleaning solutions, and other dangerous items are inaccessible to children. There are no poisons located on the premises. All materials and surfaces accessible to children are toxic free. Medications are in a safe place inaccessible to children. All toilets and hand washing facilities are in safe and sanitary operating conditions, however, they are being used for the storage of items that must be removed. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All kitchen, food prep, and storage areas are clean, free of litter/rubbish, and rodents/vermin. Licensee is reminded that trash cans containing food waste must have tight-fitting covers. Uncontaminated drinking water is available both indoors and outdoors and licensee will purchase disposable cups and dispenser. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 (F) or less. Menus that are posted at least one week in advance and are available upon request. Facility must have at least one or more functioning carbon monoxide detectors that meet statutory requirements. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition and is free of hazards. Licensee will purchase more outdoor shading and will send photos of the structures once in place. Areas around high climbing equipment, swings, and slides have cushioning bark material to absorb falls. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. Staff records contain appropriate, documentation of education credits. At least one person must be trained in CPR and Pediatric first-aid and present when children are at the facility or at off-site activities. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. LPA's observed that some of the children were not signed into the center or were signed into the center on the wrong correct date. Child's admission agreement is available for review.
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SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 243-8106
LICENSING EVALUATOR NAME: Catherine ChambersTELEPHONE: (559) 341-4450
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2015
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: CERES CHRISTIAN PRESCHOOL
FACILITY NUMBER: 503808138
VISIT DATE: 08/20/2015
NARRATIVE
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Licensee will place either "cubbies" or a storage space for each child in each room that will ensure no child's items are in contact with another.

Incidental Medical Services (IMS) was discussed. Licensee will submit a written plan to CCL within 30 days regarding the epipen that is kept on site.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found
(see next page):

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 243-8106
LICENSING EVALUATOR NAME: Catherine ChambersTELEPHONE: (559) 341-4450
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2015
LIC809 (FAS) - (06/04)
Page: 3 of 3


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: CERES CHRISTIAN PRESCHOOL
FACILITY NUMBER: 503808138
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/20/2015
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/03/2015
Section Cited
101229.1(a)(b)
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Sign In and Sign Out
In addition to the sign-in procedure requirement of Section 101226.1(b), the licensee shall develop, maintain, and implement a written procedure to sign the child in/out of the child care center that shall, at a minimum, include the following: The person who signs the child in/out shall use his/
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Licensee will send a letter to parent's reminding them that they must sign in and out each time the child is at the center. Licensee will submit a copy of the letter to CCL by 9/3/15.
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her full legal signature and shall record the time of day. LPA's observed today that some children were not signed into the center and some of the parents was signing the child into the center on the wrong week.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 243-8106
LICENSING EVALUATOR NAME: Catherine ChambersTELEPHONE: (559) 341-4450
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2015
LIC809 (FAS) - (06/04)
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