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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240406429
Report Date: 10/25/2022
Date Signed: 10/25/2022 02:44:07 PM


Document Has Been Signed on 10/25/2022 02:44 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:LIVINGSTON CHILD DEVELOPMENT CENTERFACILITY NUMBER:
240406429
ADMINISTRATOR:GREWAL, RAJVINDERFACILITY TYPE:
850
ADDRESS:848 PRUSSO STREETTELEPHONE:
(209) 394-5440
CITY:LIVINGSTONSTATE: CAZIP CODE:
95334
CAPACITY:72CENSUS: 14DATE:
10/25/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Manisha Khosla - CoordinatorTIME COMPLETED:
03:00 PM
NARRATIVE
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On 10/25/22 Licensing Program Analyst (LPA) Joseph Pacheco arrived at the facility to conduct an unannounced case management inspection. LPA met with Coordinator, Manisha Khosla. LPA toured the facility and a census was taken. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 9/22/22. On 9/21/22 facility reported that Classroom #1 was transitioning from outside play to inside the classroom when it was discovered that Child #1 was left outside. As Classroom #1 was coming inside, Classroom #2 was going outside. Staff in Classroom #2 observed Child #1 on the play structure and immediately informed staff in Classroom #1. Staff #1 estimates that Child #1 was outside alone for under 10 seconds. LPA discussed facilities procedures with Coordinator and Staff #1 for transitioning children from outside to inside and vice versa. LPA reviewed the facilities daily activity schedule and observed the outdoor play area during today’s inspection. This facility only provides care to preschool aged children and has exclusive use of the outdoor play area. Child #1's authorized representative was notified. Coordinator conducted a Staff Meeting on 9/27/22 where policies and procedures were reviewed and revised to ensure visual supervision of children is maintained at all times.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D). Licensee was provided a copy of their appeal rights.

Exit interview conducted and report was reviewed with Coordinator, Manisha Khosla.

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.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2022
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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Document Has Been Signed on 10/25/2022 02:44 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: LIVINGSTON CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 240406429

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/25/2022
Section Cited

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Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by information obtained during
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interviews. Interviews indicated that Child #1 was left unsupervised in the outdoor play area for under 10 seconds as Classroom #1 was transitioning from outside to inside at the same time Classroom #2 was transitioning from inside to outside. This poses a potential risk to the health, safety or personal rights of children in care.
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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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2022
LIC809 (FAS) - (06/04)
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