<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808652
Report Date: 07/15/2022
Date Signed: 07/15/2022 09:34:02 AM


Document Has Been Signed on 07/15/2022 09:34 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:MAOF CESAR CHAVEZ PRESCHOOLFACILITY NUMBER:
153808652
ADMINISTRATOR:ORTIZ, NANCYFACILITY TYPE:
850
ADDRESS:410 CHANNA DRTELEPHONE:
(661) 778-6150
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY:176CENSUS: 50DATE:
07/15/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Nancy OrtizTIME COMPLETED:
10:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 7/15/22, Licensing Program Analyst (LPA) Gloria Reyes conducted an unannounced case management inspection. LPA met with Director Nancy Ortiz who toured the facility inside and outside with LPA. A census was obtained. The purpose of the inspection was to inspect the new play structure, the new shade cover and the new foam pad that was installed in the outdoor play area for the preschool children’s use. The foam cover cushioning absorb falls, is beneath the entire structure. Manufacturer specifications state the new play structure is suitable for children ages 2-5 years old. Outdoor activity space surface is maintained in a safe condition and is free of hazards. Play structure is in good condition, free of sharp, loose, or pointed parts. LPA reminded Director to ensure that manufacturer’s instructions are always followed at all times when using the play structure and to discuss with staff best practices for maintaining visual supervision when children are playing outdoors.

LPA also observed in the outdoor play area that is used for the toddler children, a newly installed foam cushioning and wrought iron gate which separates the toddler yard from the preschool yard. The foam cover cushioning absorb falls, is beneath the play equipment. There is shade covering in this area as well.

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

An exit interview was conducted with Director Nancy Ortiz and a copy of this report was provided and discussed. A Notice of Site Visit Form (LIC 9213) was posted on parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Gloria ReyesTELEPHONE: (559) 341-4471
LICENSING EVALUATOR SIGNATURE:
DATE: 07/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/15/2022
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 1