Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808696
Report Date: 03/21/2018
Date Signed 03/21/2018 10:58:04 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:VIRGINIA PARKS PRESCHOOL PROGRAMFACILITY NUMBER:
503808696
ADMINISTRATOR:BAKER, MICHELEFACILITY TYPE:
850
ADDRESS:1021 MOFFETT ROADTELEPHONE:
(209) 556-1545
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY:24CENSUS: DATE:
03/21/2018
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Julie BohlenderTIME COMPLETED:
11:30 AM
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An unannounced required three year inspection is made today. Met with Teacher, Julie Bohlender. Four staff present with 21 children. A tour of facility was conducted inside and outside. Hours of operation are from August to May, Monday through Friday. The first session is from 8:00 a.m. to 11:15 p.m. and second session is from 12:00 p.m. to 3:15 p.m. in Room 201. Staff and children were spoken to during visit. The following areas are in compliance during this visit: There are no bodies of water. Fire arms and ammunition are not on the premises. Disinfectants, hazardous items and medications are inaccessible to children. Working carbon monoxide detector. Storage area for poisons is locked. Furniture and equipment are sufficient, age appropriate and in good repair. The playground equipment and outdoor activity space is maintained and in good condition with adequate cushioning material. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination, and storage containers for solid waste are covered. Drinking water is available both indoors and outside. Measures are taken to keep facility free of insects and rodents. Staff subject to a criminal record clearance or exemption are associated to the facility with the school district. Teacher/child ratios are maintained and adequate supervision is being provided during this visit. No excluded individuals are present. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets maintained. The facility is in compliance with the conditions, limitations and capacity specified on the license. No medication is being given at this time. Children's and staff files were reviewed. Staff are current on immunization. LPA reviewed with staff the Mandated Abuse Reporter Training, which is due by 3/30/18. Information was left today which discusses AB 1207 and the website to use.

No deficiencies were cited. Site Visit Notice posted on the parent board. Exit interview was conducted.

Incidental Medical Services – IMS is on file. No medication present today. 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
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2018
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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