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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808777
Report Date: 03/06/2020
Date Signed: 03/06/2020 03:37:30 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:BRIGHTEN ACADEMY PRESCHOOLFACILITY NUMBER:
103808777
ADMINISTRATOR:PETERSON, KRISTINFACILITY TYPE:
850
ADDRESS:2016 SHAW AVENUETELEPHONE:
(559) 299-8100
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:92CENSUS: 84DATE:
03/06/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Director - Rachel LickTIME COMPLETED:
03:50 PM
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On March 6, 2020, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced Case Management inspection. LPA met with Director Rachel Lick, toured the facility, and took a census. The purpose of today’s inspection was to discuss an incident that was reported to Community Care Licensing (CCL) on 02/24/2020.

Director stated that on 02/24/2020, Child 1 disclosed to Staff 1 that Child 1 witnessed an inappropriate incident that occurred between Child 2 and Child 2’s sibling while at Child 2’s home. Director spoke to parents of Child 1 and Child 2 following the incident. Director took appropriate measures by filing a Suspected Child Abuse Report (SCAR). This incident did not occur at the facility and staff took appropriate measures to address the incident, following appropriate policies, regulations, and reporting requirements. Staff understand they are mandated reporters and know the procedures to do so.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiencies cited during today’s inspection.

A copy of this report to be made available to the public upon request.

LIC 9213 Notice of Site Visit 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: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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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