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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808951
Report Date: 07/27/2022
Date Signed: 07/27/2022 08:57:35 AM

Document Has Been Signed on 07/27/2022 08:57 AM - 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:STONE SOUP FRESNOFACILITY NUMBER:
103808951
ADMINISTRATOR:XIONG, YERFACILITY TYPE:
850
ADDRESS:1343 E BULLDOG LNTELEPHONE:
(559) 224-7613
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 25DATE:
07/27/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Office Manager - Ka HerTIME COMPLETED:
09:05 AM
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On 07/27/2022, Licensing Program Analyst (LPA) Luisa Gavoutian conducted an unannounced case management inspection. LPA met with Office Manager Ka Her, toured the facility inside and outside and took a census. The purpose of today's inspection was to inspect a new shade structure that was installed in the outdoor play area over the existing play structure.

The outdoor play area is used by the preschool children. LPA observed that the new shade structure provides adequate shade for children during outdoor activities. The shade structure has four metal poles that are not cushioned to help prevent children from sustaining serious injuries when running into the poles. LPA is recommending that the poles be cushioned.

LPA observed adequate cushioning in the form of wood chips underneath the play structure and landing of the slides to absorb falls. LPA is recommending that licensee regularly rakes the wood chips into the fall zones. Outdoor activity space surface is maintained in a safe condition and is free of hazards. Playground equipment is in good condition, free of sharp, loose, or pointed parts.

The outdoor play area has been licensed for use effective today, 07/27/2022, for the preschool children.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Office Manager Ka Her.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Luisa Gavoutian
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2022
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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