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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808558
Report Date: 06/28/2021
Date Signed: 06/28/2021 04:46:43 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:
103808558
ADMINISTRATOR:LAM, KUNTHEARFACILITY TYPE:
830
ADDRESS:5191 E TULARE STTELEPHONE:
(559) 252-6445
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:9CENSUS: 3DATE:
06/28/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Licensee - Tia LamTIME COMPLETED:
04:55 PM
NARRATIVE
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On 06/28/2021, Licensing Program Analysts (LPAs) Luisa Gavoutian and Stefanie Galvan conducted an unannounced case management inspection. LPAs met with Licensee Tia Lam, who accompanied LPAs on a tour of the facility, inside and outside.

During today’s inspection, LPAs entered the infant room. Present in the infant room were three infants and Staff 1. LPAs observed two awake infants in the main classroom and one napping infant, Child 1, in the crib room. LPAs observed that Staff 1 was standing in the classroom near the wall that divides the main classroom and the crib room. LPAs observed plexiglass windows that Staff 1 can see through into the crib room. LPAs discussed with Licensee the need to provide direct visual supervision of all awake and sleeping children at all times. LPAs discussed the need to have an additional staff present to supervise the napping infant while other infants are awake in order to maintain proper supervision, including visual supervision at all times, especially in the event that the awake infants require the staff’s attention, resulting in the staff walking away from the plexiglass windows and no longer maintaining visual supervision of sleeping infant.

LPAs observed that Child 1, who was asleep in the nap room, was covered with a blanket. Licensee Tia immediately removed the blanket from the infant’s crib and placed it away from the crib. LPAs discussed the infant safe sleep regulations, which state that the crib shall be free from all loose articles and objects, including blankets.

Upon LPAs’ entry into the infant classroom, LPAs observed that Staff 1 was in the infant classroom alone. LPAs reviewed Staff 1’s records and found that Staff 1 has not completed the early childhood education or child development units required to provide care and supervision to infants alone. Licensee Tia, who is fully qualified to provide care and supervision to infants and supervise staff, stated that she was in the infant room with Staff 1 but had just stepped out for her 10-minute break, leaving Staff 1 alone with the infants. (Continued on LIC 809-C)

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Luisa GavoutianTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 06/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021
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 5
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: 103808558
VISIT DATE: 06/28/2021
NARRATIVE
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Licensee Tia understands that a fully qualified teacher must be present at all times and staff who do not meet the minimum requirements cannot be in the classroom alone with infants. Licensee Van Lam arrived at the facility and went into the infant classroom to assist with supervision. Staff 2 also arrived to assist with the infant classroom.

At 10:47 a.m., LPAs entered the infant classroom once again. LPAs observed Child 1 in the crib, which had been rolled out into the classroom area. Child 1 was awake, and Staff 2 was interacting with Child 1 with a rattle. LPAs observed Licensee Van was visually observing the classroom and Staff 1 was interacting with Child 2 and Child 3. Child 1 started getting fussy and Licensee Van called Licensee Tia into the classroom, who picked up Child 1 and handed the infant to Licensee Van. Licensee Van then handed Child 1 to Staff 1 for feeding. LPAs discussed the requirement to provide infants with safe, healthful, and comfortable furnishings, equipment, and accommodations to meet the infants’ needs, per California Code of Regulations section 101223(a)(2). Licensees understand that the crib shall not be rolled out of the nap room into the activity area to keep children, while awake, in the crib.

LPAs attempted to review facility’s sign-in/sign-out records and found only Child 3 and Child 4 had sign-in/out records completed. Licensee Tia stated that due to the COVID-19 pandemic, the facility started asking parents to complete a sign-in/out sheet at the end of the month, in order to limit exposure from parents entering facility daily and/or spreading the COVID-19 virus by touching sign-in/out papers or pens. LPAs explained that the parent or authorized representative must sign the child in or out on the same day with their full legal signature and record the time of day. LPAs explained that any alternative sign-in/out system must be submitted in writing to the department for approval prior to implementation. Licensee Tia stated that proper sign in/out procedures, per regulation, will be implemented effective immediately.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see LIC809-D). Exit interview was conducted with Licensee Tia Lam. Licensee was provided a copy of appeal rights.

Upon receipt, 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 - AB 633 Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit 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: 06/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2021
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: 103808558
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/29/2021
Section Cited

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Responsibility for Providing Care and Supervision for Infants; Each infant shall be constantly supervised and under direct visual observation and supervision by a staff person at all times. This requirement was not met as evidenced by:
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Based on observation, Licensee failed to provide direct visual observation of infants in care as described in LIC 809. This poses an immediate risk to the health, safety, or personal rights of children.
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An informal office meeting shall be scheduled in the near future to discuss this and other deficiencies.

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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: 06/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2021
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: 103808558
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/12/2021
Section Cited

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Infant Care Aide Qualifications and Duties; An infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher, except as provided for in Section 101416.5(d)(1). This requirement was not met as evidenced by:
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Based on observation, Staff 1 was not supervised by the Licensee or a fully qualified teacher as described in LIC 809. This poses a potential risk to the health, safety, or personal rights of children.
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Type B
07/12/2021
Section Cited

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Infant Care Center Sleeping Equipment; Cribs shall be free from all loose articles and objects, including blankets and pillows. This requirement was not met as evidenced by:
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Based on observation, Child 1 was napping in a crib, while covered with a blanket. 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: 06/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2021
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: 103808558
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/28/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/12/2021
Section Cited

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Personal Rights; (a) The licensee shall ensure that each child is accorded the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Based on observation, Licensee failed to provide safe, healthful and comfortable accommodations to meet Child 1's needs by moving the crib into the classroom as described in LIC 809. This poses a potential risk to the health, safety, or personal rights of children.
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Type B
07/12/2021
Section Cited

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Sign In and Sign Out; The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement was not met as evidenced by:
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Based on interview and records review, Licensee failed to maintain sign in/out records and stated that parents/authorized representatives complete the sign in/out sheets at the end of the month due to COVID-19 pandemic. 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: 06/28/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2021
LIC809 (FAS) - (06/04)
Page: 5 of 5