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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801840
Report Date: 03/12/2024
Date Signed: 03/12/2024 06:08:42 PM


Document Has Been Signed on 03/12/2024 06:08 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:NEW LIFE DISCOVERY SCHOOL-CLOVISFACILITY NUMBER:
103801840
ADMINISTRATOR:JONES, TRENITYFACILITY TYPE:
840
ADDRESS:1675 MINNEWAWATELEPHONE:
(559) 322-4453
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:48CENSUS: 2DATE:
03/12/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
05:40 PM
MET WITH:Trenity JonesTIME COMPLETED:
06:15 PM
NARRATIVE
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On 03/12/2024, Licensing Program Analyst (LPA) Miguel Herrera conducted an unannounced case management inspection at the facility. LPA met with Site Supervisor, Trenity Jones who accompanied LPA during a tour of the facility both inside and outside. LPA explained the purpose for the inspection and a census was taken. During the case management visit, facility observations were completed, facility records were reviewed, and interviews were conducted with staff.

Based on records review LPA Herrera observed child #1 (age, 6 years old and 1 month) arrived at 8:00AM on 03/12/2024 and was placed in the Rising Star A classroom with preschool age children ages 4-5 years old. Director Jones stated that staff #1 arrives at 9am and therefore child #1 was placed with preschool age children until 9am. Furthermore, LPA Herrera observed attendance records indicating child #1 continuously commingling with preschool age children. Per Director, child #1 is enrolled in the Rocketeers classroom (school age children, ages 6 to 12 years old). Per director Jones, child #1 will arrive at 8am once staff #1 is present in the school age classroom.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 809D.

An exit interview conducted with Director Trenity Jones. A copy of this report and Appeal Rights were provided and discussed with Director Jones. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Miguel HerreraTELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:
DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2024
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


Document Has Been Signed on 03/12/2024 06:08 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: NEW LIFE DISCOVERY SCHOOL-CLOVIS

FACILITY NUMBER: 103801840

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2024
Section Cited
CCR
101538.3(b)

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(b) In combination programs, indoor activity space provided for school-age childcare center children shall be physically separated from space provided for infant care and child care center children...

This requirement is not met as evidenced by:
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Director stated she will review CCR 101538.3(b) with staff members and submit a statement of understanding stating how the facility will prevent commingling in the facility. Statement of understanding will be submitted to LPA via email by end of workday 03/13/2024.
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Based on LPA observation and Director interview, SA child and PS children have been commingling in PS classroom for a hour each morning.The licensee did not comply with the section cited above. This poses a potential risk to the health, safety, or personal rights of children in care.
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Additionally Director will ensure child #1 arrives at 8am when a SA staff is present to receive and supervise child.

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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: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Miguel HerreraTELEPHONE: (559) 341-0721
LICENSING EVALUATOR SIGNATURE:
DATE: 03/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2024
LIC809 (FAS) - (06/04)
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