<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100405499
Report Date: 04/28/2020
Date Signed: 04/29/2020 12:02:00 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:NEW LIFE DISCOVERY SCHOOL (SHIELDS)FACILITY NUMBER:
100405499
ADMINISTRATOR:MANDEEP GILLFACILITY TYPE:
850
ADDRESS:4348 E. SHIELDS AVENUETELEPHONE:
(559) 228-8687
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:32CENSUS: 8DATE:
04/28/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Director, Mandeep GillTIME COMPLETED:
10:30 AM
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
On 04/28/2020 at 9:04 a.m., Licensing Program Analyst (LPA) Angelica Mejia, conducted a case management inspection via telephone due to COVID-19 and the suspension of in-person visits. The purpose of the inspection was to issue a deficiency for a violation discovered during a complaint investigation. LPA spoke with Director Mandeep Gill via telephone, discussed the purpose of the inspection, and a census was taken.

While conducting a complaint investigation at the facility, LPA determined facility staff did not report an unusual incident that occurred at the facility on 02/20/2020 to Community Care Licensing (CCL). Based on information obtained from interviews, the incident involved parents of a daycare child who were arguing during child pick up which resulted in facility staff placing the facility on a lock down. Staff #1 stated she was unaware of the requirement to report the incident of the parental dispute and facility lock down to CCL. The Title 22 regulation states, "(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child."

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is found: (see LIC809-D). Licensee was provided a copy of appeal rights.

An exit interview was conducted with Licensee, during which this report was discussed. A copy of this report was provided via email, return receipt requested. This report shall be made available to the public upon request.

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:

DATE: 04/28/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2020
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: NEW LIFE DISCOVERY SCHOOL (SHIELDS)
FACILITY NUMBER: 100405499
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/28/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/28/2020
Section Cited

1
2
3
4
5
6
7
Reporting Requirements. Upon…any of the events ...below, a report shall be made to the Department by telephone or fax within the…Department's next working day…In addition, a written report…shall be submitted ...seven days following...such event. This requirement was not met as evidenced by:
8
9
10
11
12
13
14
Based on interviews and record review, Licensee did not submit an unusual incident report to the Department within the required time frame for the incident and facility lock down that occurred on 02/20/2020. This poses a potential risk to the Health, Safety, or Personal Rights of children in care.
8
9
10
11
12
13
14
Licensee will submit a written summary of the training and a staff sign-in sheet to Community Care Licensing (CCL) by the POC due date of 05/28/2020.

1
2
3
4
5
6
7

1
2
3
4
5
6
7
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: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica MejiaTELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2