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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 160406644
Report Date: 08/29/2023
Date Signed: 08/29/2023 02:19:36 PM


Document Has Been Signed on 08/29/2023 02:19 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:BRET HARTE PRESCHOOLFACILITY NUMBER:
160406644
ADMINISTRATOR:MENDOZA, ELIZABETHFACILITY TYPE:
850
ADDRESS:1300 LETTS AVE.TELEPHONE:
(559) 992-2188
CITY:CORCORANSTATE: CAZIP CODE:
93212
CAPACITY:60CENSUS: 25DATE:
08/29/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Marisela Contreras, Teacher/Site SupervisorTIME COMPLETED:
02:30 PM
NARRATIVE
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On 08/29/2023, Licensing Program Analysts (LPAs) Gloria Reyes and Lady Cabrera conducted an unannounced case management visit. LPAs met with Mrs. Contreras and Director Linda Reis. The purpose of the visit was to address deficiencies that were found during a complaint investigation.

On 08/18/2023 during school dismissal at approximately 11:15a.m., Teacher #2 released Child #1 to the incorrect authorized representative, who then left facility premises. Based on interview and record review, facility did not verify sign in/out sheet for Child #1 correct authorized representative.

On 08/18/2023, Unusual Incident occurred, and Licensee did not notify the Department by telephone or fax of the unusual incident within the Department’s next working day and during its normal business hours. Per records reviewed, Licensee notified the Department of the incident on 08/22/2023. On 08/25/2023, CCL received Unusual Incident/Injury Report via email.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are found on LIC809-D. Exit interviewed conducted and Licensee was provided a copy of appeal rights.

This report shall be made available to the public upon request. LIC9213 Notice of Site Visit is required to be posted for 30 days.

SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 978-8397
LICENSING EVALUATOR SIGNATURE:
DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/29/2023
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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Document Has Been Signed on 08/29/2023 02:19 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: BRET HARTE PRESCHOOL
FACILITY NUMBER: 160406644

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/29/2023
Section Cited
CCR
101229.1(b)

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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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Licensee stated all staff have trained on updated dismissal protocols on 08/23/2023. Licensee provided CCL with Bret Harte Preschool Dismissal Procedures, which indicate only Lead Teacher will dismiss children to their parent/caregiver, check identification of any parent/caregiver,
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Based on interview and record review, facility did not verify sign in/out sheet for Child #1 correct authorized representative. This poses a potential risk to the health, safety, and personal rights of children in care.
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and will confirm identity with the information in the binders.

Facility was given notice of informal conferene scheduled with CCL to discuss concerns.
Type B
09/12/2023
Section Cited
CCR101212(d)(1)(C)

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Upon the occurrence,..the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day…(d)(2) below shall be submitted to the Department within seven days ...(1) E...(C)Any unusual incident or child absence...This requirement was not met as evidenced by:
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LPA provided facility 101212 Reporting Requirements. Licensee stated that she will read, and review section cited with her staff and provide a written statement acknowledging that they read and understood regulation by 09/12/2023.
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Based on observations and records reviewed, Licensee failed to submit unusual incident report to the Department within the Department’s next working day. 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: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 978-8397
LICENSING EVALUATOR SIGNATURE:
DATE: 08/29/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/29/2023
LIC809 (FAS) - (06/04)
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