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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500301496
Report Date: 08/18/2023
Date Signed: 08/18/2023 09:59:47 AM

Document Has Been Signed on 08/18/2023 09:59 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:PLANET KIDS CHRISTIAN PRESCHOOLFACILITY NUMBER:
500301496
ADMINISTRATOR:WOOD, TAMIFACILITY TYPE:
850
ADDRESS:1601 COFFEE RDTELEPHONE:
(209) 529-2531
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY: 145TOTAL ENROLLED CHILDREN: 145CENSUS: 20DATE:
08/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:44 AM
MET WITH:Tami WoodTIME COMPLETED:
10:15 AM
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On 08/18/2023, Licensing Program Analysts (LPAs) Anita Tristan and Valerie Mireles conducted an unannounced case management inspection. LPAs toured the facility, and a census was taken. LPAs met with Director, Tami Wood. The purpose today's inspection was to discuss an unusual incident occurred on 7/13/2023, in which child #1 stated she was touched inappropriately.

During the case management inspection, LPAs interviewed Director, reviewed facility files, reviewed protocols for reporting obligations, and received and gathered additional documentation.

With the information received today it is determined that the staff handled the situation quickly and properly, and incidents regarding child#1 were reported timely and school protocol was followed.



Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, no deficiencies observed during today’s inspection.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with Director, Tami Woods and a copy of the report and appeal rights were given and discussed.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/18/2023
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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