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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801839
Report Date: 03/11/2022
Date Signed: 03/11/2022 04:52:47 PM


Document Has Been Signed on 03/11/2022 04:52 PM - It Cannot Be Edited

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-CLOVISFACILITY NUMBER:
103801839
ADMINISTRATOR:CHANG, BLIAFACILITY TYPE:
850
ADDRESS:1675 MINNEWAWATELEPHONE:
(559) 322-4453
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:45CENSUS: 20DATE:
03/11/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Michael XiongTIME COMPLETED:
05:00 PM
NARRATIVE
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On 03/11/2022, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced Case Management inspection at facility. LPA also conducted an unannounced complaint inspection. LPA explained purpose of inspection, toured the facility, and took a census.

LPA interviewed multiple staff members during the complaint inspection. It was discovered through interview that facility has allowed housekeeping staff, who do not have the required Early Education units to be a Teacher or Aide, to cover for Teachers who are on break or not present. Other staff members witnessed Staff #1 and Staff #2 cover for teachers and be left alone with children. LPA reviewed employee files and determined Staff #1 and Staff #2 do not meet the requirements of a qualified teacher or aide, therefore are not qualified to cover breaks for teachers or aides.

It was also revealed through interview with staff members that on at least one occasion, Teacher #1 and Teacher #2 were left with more than 12 children in a classroom.

Sierra Burnett stated facility is aware of an issue with teachers having problems asking for assistance. Sierra stated walkie-talkies are on order. On-call staff have been hired recently as well to assist in situations of low staffing availability.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiencies are cited (See LIC 809-D). Exit interview conducted with Director Michael Xiong and Sierra Burnett.

Upon receipt of a type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at this time and to parents/guardians of children newly enrolled at the facility during the next 12 months." The licensee was provided a copy of the of the relevant documents this date. A completed signed copy of the LIC 9224 will be placed in each child's file.

Notice of Site Visit to be posted on parents' board for 30 days.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2022
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 3


Document Has Been Signed on 03/11/2022 04:52 PM - It Cannot Be Edited

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-CLOVIS
FACILITY NUMBER: 103801839

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/11/2022
Section Cited

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CCR 101216.1(b): Prior to employment, a teacher shall meet the requirements of (b)(1) or (b)(2)...(b)(1) teacher shall have completed...at least six postsecondary semester or equivalent quarter units... This requirement was not met as evidenced by:
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Based on interview and file review, facility did not ensure breaks were covered by qualified staff members, and allowed Staff #1 and Staff #2 to cover Teachers for breaks. This is an immediate risk to the health, safety, and personal rights of children in care.
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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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3


Document Has Been Signed on 03/11/2022 04:52 PM - It Cannot Be Edited

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-CLOVIS
FACILITY NUMBER: 103801839

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/15/2022
Section Cited

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CCR 101216.3(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance... This requirement was not met as evidenced by:
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Based on interview, facility did not ensure one classroom was within ratio on at least one occasion. This is a potential risk to the health, safety, and personal rights of children in care.
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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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3