203808144-2-19-2021-04-CC-CROZ-BYE29T-20210219161229

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 203808144
Report Date: 02/19/2021
Date Signed: 02/19/2021 04:12:36 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:	YOSEMITE LAKES CHRISTIAN PRESCHOOL		FACILITY NUMBER:	203808144
ADMINISTRATOR:	PETERSON, ANITRA		FACILITY TYPE:	850
ADDRESS:	43840 PATRICK AVENUE		TELEPHONE:	(559) 474-8796
CITY:	COARSEGOLD	STATE: CA	ZIP CODE:	93614
CAPACITY:	45	CENSUS: 12	DATE:	02/19/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Anitra Peterson		TIME COMPLETED:	04:25 PM

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 02/19/2021, Licensing Program Analyst (LPA) Candis Rodriguez conducted a Case Management inspection at facility. LPA met with Director Anitra Peterson, explained the purpose of the inspection, toured the facility and took a census.

On 02/17/2021, facility self reported that Child #1 told Parent #1 that Child #2 touched them inappropriately, underneath their clothes, on their genitals. Parent #1 told Director this occurred on 02/16/2021. Director stated she contacted Parent #2 to discuss the allegation, and Director also interviewed staff members and Child #2. Director stated Child #1 told Parent #1 this occurred in the playhouse in the outdoor play area. Director stated there are two playhouses in the outdoor area with doors and windows removed, but due to a possibility of creating a blind spot, these playhouses have been removed from the facility as of 02/18/2021.

LPA interviewed staff members and multiple children. LPA also received a copy of the facility roster.

After interviews, it was determined there were no witnesses to the alleged incident.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, no deficiency was cited. Site Visit Notice posted on the parent board. Exit interview was conducted with Director Anitra Peterson.

SUPERVISOR'S NAME: Alice Juarez	TELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis Rodriguez	TELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:	DATE: 02/19/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2021

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