Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808859
Report Date: 07/19/2017
Date Signed 07/19/2017 04:39:11 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:BETHEL CHRISTIAN DAYCARE & PRESCHOOLFACILITY NUMBER:
503808859
ADMINISTRATOR:HAMMOND, KIMBERLYFACILITY TYPE:
830
ADDRESS:2361 SCENIC DRIVETELEPHONE:
(209) 521-5454
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY:8CENSUS: 3DATE:
07/19/2017
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Breanne StricklandTIME COMPLETED:
05:00 PM
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Licensing Program Analysts (LPA's) Catherine Chambers & Claudia Henley conducted an unannounced Annual/Random inspection. LPA's met with acting Director Breanne Strickland. This facility operates all year between the hours of 6:30 AM and 6:00 PM. Parent's provide all food for the infants. There are no bodies of water on this site. Neither firearms nor weapons are allowed or stored on the premises of a child care center. Disinfectants and cleaning solutions are inaccessible to children. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. 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 that are kept on, and are in good repair. 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 of a child care center. The facility has sufficient infant napping equipment. The facility has indoor activity space for infants that is physically separate from space used by preschool child care center/school-age child care center components. The child care center is clean, safe, sanitary, and in good repair at all times to ensure the safety and well-being of children, employees, and visitors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. 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. In centers where the licensee chooses to handle medications, all medications are centrally stored, maintained with the child's name, and are dated, and follow the conditions as prescribed. This licensee will accept children with medications, however, none are enrolled at this time.
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 650-7856
LICENSING EVALUATOR NAME: Catherine ChambersTELEPHONE: (559) 341-4450
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2017
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 2


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: BETHEL CHRISTIAN DAYCARE & PRESCHOOL
FACILITY NUMBER: 503808859
VISIT DATE: 07/19/2017
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LPA explained the Incidental Medical Services (IMS) for the Child Care Center requirements. 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

The name of the child care center director or fully qualified teachers 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. Menus are posted at least one week in advance in a place visible by the child's authorized representative, dated, and kept on file for 30 days, and are made available on request. At least one person trained in CPR and Pediatric 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.

LPA & licensee discussed the Community Care Licensing website: www.ccld.ca.gov. LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. LPA left a copy of A Child Care Provider’s Guide to Safe Sleep

Site Visit Notice posted on the parent board. Exit interview was conducted.



In the areas inspected, no deficiencies cited today
SUPERVISOR'S NAME: Rebecca VarelaTELEPHONE: (559) 650-7856
LICENSING EVALUATOR NAME: Catherine ChambersTELEPHONE: (559) 341-4450
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2017
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2017
LIC809 (FAS) - (06/04)
Page: 2 of 2