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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808558
Report Date: 11/09/2022
Date Signed: 11/09/2022 12:09:29 PM


Document Has Been Signed on 11/09/2022 12:09 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: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: DATE:
11/09/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Vannarith Lam and Tia LamTIME COMPLETED:
11:40 AM
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On 11/09/2022, Licensing Program Analysts (LPAs) Ka Vang and Cynthia Brannon conducted an unannounced case management inspection. LPAs toured the facility, and a census was taken. LPAs met with Licensee Tia Lam and Vannarith Lam. The purpose today's inspection was to follow up the Plan of Correction (POC) for the deficiencies issued on 10/07/2022 during the unannounced inspection visit.

During today’s inspection, LPA Ka observed that Staff 1 completed her Mandated Reporting Child Abuse (AB1207) training on 10/20/2022. The POC was review and clear.



LPA Ka also observed the infant’s refrigerator and licensee had followed protocol of appropriately store the infant’s food with their name and the date the food was put in the refrigerator.

During today’s inspection, Licensee removed the worn-out tarp and pending for the new tarp to arrive to install the new tarp. Licensee provided proof that the manufactory is sending their ordered tarp and may arriving this week by 11/12/2022. Licensee requested for extension of the POC due date for the tarp to provide more shade for the infant playground. The extension of the POC due date extend to 11/18/2022.

During today’s inspection, LPA did not observe any regulations being violated. Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency cited during today's visit.



Exit interview conducted with Licensee Vannarith Lam.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka VangTELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2022
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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