103808268-8-19-2025-04-CC-MHEA-DKPRQZ-20250819131421

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808268
Report Date: 08/19/2025
Date Signed: 08/19/2025 01:15:16 PM

Document Has Been Signed on 08/19/2025 01:15 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:	HANSEL & GRETEL III WISHON		FACILITY NUMBER:	103808268
ADMINISTRATOR/ DIRECTOR:	MAYVE VANG		FACILITY TYPE:	830
ADDRESS:	2045 N. WISHON		TELEPHONE:	(559) 227-5436
CITY:	FRESNO	STATE: CA	ZIP CODE:	93704
CAPACITY: 13	TOTAL ENROLLED CHILDREN: 8	CENSUS: 6	DATE:	08/19/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:45 AM
MET WITH:	Mayve Vang		TIME VISIT/ INSPECTION COMPLETED:	01:30 PM

NARRATIVE

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On 08/19/2025, Licensing Program Analyst Miguel Herrera conducted an unannounced Case Management Inspection. LPA met with Site Supervisor, Mayve Vang. LPA toured the facility, and a census was taken. The purpose of today's inspection was regarding an unusual incident that was self reported to the Fresno Childcare Regional Office, the incident occurred on 08/15/2025, the incident pertained to an absence of supervision.

During today’s visit LPA Herrera conducted facility observations, interviewed staff, and reviewed video footage. Based on the video footage, LPA Herrera observed that at the time of the incident there were 2 teachers and 5 infants present in the outside infant play area. LPA Herrera observed both staff cleaning the area before transitioning children back into the classroom. LPA Herrera observed staff #1 (S1) open the play area's gate with 4 children following her lead, while staff #2 (S2) followed behind the group. LPA Herrera observed child #1 (C1) go into the playhouse while the class went inside the facility. Based on the video footage reviewed LPA Herrera determined that C1 was left outside with an absence of supervision for approximately 4 to 5 minutes before S2 was able to get to the child.

LPA spoke to Site Supervisor, Vang and reminded the facility to always have visual supervision of children whether they are outside or inside the classroom. Site Supervisor, Vang stated that on 08/22/2025 the facility conducted a supervision training with all staff. The training will cover topics such as the importance of child supervision, always keeping count of children (name to face recognition), and communicating with other teachers present when taking children outdoors and indoors. LPA Herrera also discussed reporting requirements with Site Supervisor, Vang.

Exit interview conducted and report was reviewed with Site Supervisor, Mayve Vang. Appeal rights were provided. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, one deficiency was cited during today’s inspection (see LIC 809-D). This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Jose Penate
NAME OF LICENSING PROGRAM ANALYST: Miguel Herrera
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/19/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: HANSEL & GRETEL III WISHON	FACILITY NUMBER: 103808268
	VISIT DATE: 08/19/2025

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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 the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Site Supervisor, Mayve Vang. Per Site Supervisor, Mayve Vang a completed signed copy of the LIC 9224 will be placed in each child's file.

NAME OF LICENSING PROGRAM MANAGER: Jose Penate
NAME OF LICENSING PROGRAM ANALYST: Miguel Herrera
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/19/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/19/2025 01:15 PM - It Cannot Be Edited

Created By: Miguel Herrera On 08/19/2025 at 12:20 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: HANSEL & GRETEL III WISHON	FACILITY NUMBER: 103808268
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/19/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 08/22/2025 Section Cited CCR 101229(a)(1)	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in... Supervision shall include visual observation.This requirement was not met as evidenced by: Based on video review,	1 2 3 4 5 6 7	Site Supervisor, Vang will provided a copy of the training that will be conducted on 08/22/2025. The training is regarding active supervision and classroom transitions. The Site Supervisor stated that she will also include the training for all new staff hired going forward.
	8 9 10 11 12 13 14	LPA Herrera observed child #1 was left with an absence of supervision for approximately 4 to 5 minutes in the infant outside play area, which poses an immediate risk to the health, safety or personal rights of children in care. An immediate $500 civil penalty is being assessed.	8 9 10 11 12 13 14	Furthermore Site Supervisor, Vang will provide a statement as how she will implent the training during new hire onborading and monthly staff meetings. The facility will ensure to provide the statement along with training documentation by 08/22/2025.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	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.

	Jose Penate
NAME OF LICENSING PROGRAM MANAGER:

	Miguel Herrera
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/19/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2025

LIC809 (FAS) - (06/04)

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