OLIVEHURST PRESCHOOL

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 4/26/23 at 10:28am, an annual inspection was made to the facility by Licensing Program Analyst (LPA), E. Laird. This program is operated by public agency and a Title 5 funded program. Operating hours are 8:00am to 11:15am (Rooms A, B, C) and 12:15pm to 3:30pm (Room C only), Monday-Friday. The facility was toured at 10:30am inside and outside and the floor and yard plan submitted by the licensee were verified. Facility operates in classroom A, B, and C. The facility representative and 8 teachers/aids were supervising 38 children, and operating within the licensed capacity and ratio requirements. There are no pools or bodies of water on the premises. Five children's records were reviewed at 11:14am. Three staff records were reviewed at 11:21am. Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. 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 There were no deficiencies cited during today’s inspection. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Erica Laird LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023 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 FACILITY NAME: OLIVEHURST PRESCHOOLFACILITY NUMBER: 581374387 VISIT DATE: 04/26/2023 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 26 27 28 29 30 31 32A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the facility representative, Maria Jacobo. To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Erica Laird LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 4/26/23 at 10:28am, an annual inspection was made to the facility by Licensing Program Analyst (LPA), E. Laird. This program is operated by public agency and a Title 5 funded program. Operating hours are 8:00am to 11:15am (Rooms A, B, C) and 12:15pm to 3:30pm (Room C only), Monday-Friday. The facility was toured at 10:30am inside and outside and the floor and yard plan submitted by the licensee were verified. Facility operates in classroom A, B, and C. The facility representative and 8 teachers/aids were supervising 38 children, and operating within the licensed capacity and ratio requirements. There are no pools or bodies of water on the premises. Five children's records were reviewed at 11:14am. Three staff records were reviewed at 11:21am. Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated. 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 There were no deficiencies cited during today’s inspection. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Erica Laird LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023 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 FACILITY NAME: OLIVEHURST PRESCHOOLFACILITY NUMBER: 581374387 VISIT DATE: 04/26/2023 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 26 27 28 29 30 31 32A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with the facility representative, Maria Jacobo. To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process. SUPERVISORS NAME: Megan Aviles LICENSING EVALUATOR NAME: Erica Laird LICENSING EVALUATOR SIGNATURE: DATE: 04/26/2023 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/26/2023