Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 525405507
Report Date: 04/29/2016
Date Signed 04/29/2016 02:57:45 PM

COMPREHENSIVE INSPECTION
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., SUITE 170
CHICO, CA 95926
FACILITY NAME:OLIVE VIEW STATE PRESCHOOLFACILITY NUMBER:
525405507
ADMINISTRATOR:RAGLAND, KIMFACILITY TYPE:
850
ADDRESS:521 ALMOND STREETTELEPHONE:
(530) 524-5319
CITY:CORNINGSTATE: CAZIP CODE:
96021
CAPACITY:24CENSUS: 0DATE:
04/29/2016
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Kim RaglandTIME COMPLETED:
03:05 PM
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(3) A visit was made to the facility by LPA, Chris Archer. The facility file was reviewed prior to this visit. This is a Title 5 program operated by Tehama County Department of Education on the Olive View Elementary School grounds.

Operating hours are 8-11am, 12-3pm, Mon-Fri. The facility is closed during the summer and school holidays. The facility was toured inside and outside and the floor and yard plan were verified. The items which could pose a danger to children (detergents, cleaning compounds, and medications) were inaccessible to children. The site supervisor stated poisons are not stored on site and none were observed during today's visit. The toys, floors, desks and other equipment appeared clean and safe. There is drinking water available to children both indoors and outdoors. The children's bathrooms appeared in safe and sanitary condition. Food is prepared on site; AM/PM snack are provided. A current menu was posted. Food prep areas are clean. Food is properly stored. Garbage cans containing solid waste have tight fitting lids. There is a working smoke detector, carbon monoxide detector and fire extinguisher in the facility. The playground is completely fenced and free of hazards. The playground equipment appeared in safe condition. There is wood chip cushioning underneath climbing structures and/or play equipment to absorb falls. There were no bodies of water observed. Children and staff records were reviewed. The sign in/out procedure was reviewed and in compliance. This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. During today's visit staffing ratios were being met. At least one staff member present possessed current CPR and First Aid certifications. All licensing reports are public information and must be made available upon request.
Notice of Site Visit shall be posted for 30 days from today's visit.

There were no Title 22 deficiencies cited during today's visit.

SUPERVISOR'S NAME: Jordan MonathTELEPHONE: (530) 895-5948-
LICENSING EVALUATOR NAME: Christen ArcherTELEPHONE: (530) 895-4230
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2016
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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