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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808384
Report Date: 12/12/2019
Date Signed: 12/12/2019 04:52:56 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:SOUTHEAST FRESNO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
103808384
ADMINISTRATOR:LAM, KUNTHEARFACILITY TYPE:
840
ADDRESS:5191 E. TULARETELEPHONE:
(559) 252-6445
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:30CENSUS: 16DATE:
12/12/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director - Tia LamTIME COMPLETED:
05:05 PM
NARRATIVE
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This report is a continuation of the annual inspection that was conducted on December 11, 2019.

Licensing Program Analyst (LPA) Luisa Gavoutian conducted a case management – annual continuation inspection today. LPA was greeted by Licensee/Director Tia Lam, who accompanied LPA on a tour of the facility. A census was taken.

During the annual inspection on December 11, 2019, LPA observed Staff 1 supervising nine children. LPA conducted personnel file reviews and found that Staff 1 does not maintain the education credits required to supervise children. LPA discussed with Director appropriate education requirements for staff supervising children. This is a repeat violation for a Type B citation issued during a case management inspection on 08/08/2019 in violation of California Code of Regulations (CCR) 101516.2(a)-(b); the facility is being issued a civil penalty in the amount of $250 for a repeat violation in 12 months per Health and Safety Code (HSC) 1596.99(2)(A).

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiency is found: (see LIC809-D). Exit interview was conducted with Director Tia Lam.

Licensee was provided a copy of appeal rights.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.



LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2019
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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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: SOUTHEAST FRESNO CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 103808384
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/12/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/13/2020
Section Cited

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School-Age Child Care Center Teacher Qualifications and Duties; (a) In addition to Section 101216.1, the following shall apply: (b) As an alternative educational prerequisite, a school-age child care teacher may, pursuant to Health and Safety Code Section 1597.21, substitute 20 training hours for each of the
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required units of education in Section 101216.1... This requirement was not met as evidenced by: Based on observation and records review, Staff 1 was supervising children, without proper education credits or training hours. This poses a potential risk to the health, safety, or personal rights of children.
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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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:
DATE: 12/12/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/12/2019
LIC809 (FAS) - (06/04)
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