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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500319966
Report Date: 04/07/2025
Date Signed: 04/07/2025 02:43:33 PM

Document Has Been Signed on 04/07/2025 02:43 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:DON PEDRO STATE PRESCHOOLFACILITY NUMBER:
500319966
ADMINISTRATOR/
DIRECTOR:
GONZALES, MARYFACILITY TYPE:
850
ADDRESS:2300 DON PEDRO ROADTELEPHONE:
(209) 556-1545
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 23DATE:
04/07/2025
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Director Mary GonzalesTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On April 7, 2025, Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced Required 3-Year Inspection for the preschool license located at Don Pedro Elementary School, in Room 27. LPA met with Director Mary Gonzales and conducted a comprehensive tour of the facility, including both indoor and outdoor areas. The preschool operates on a traditional school-year schedule with half-day sessions: AM from 8:00 AM to 11:15 AM and PM from 12:00 PM to 3:15 PM, Monday through Friday.

During the inspection, LPA observed that all cleaning supplies, disinfectants, medications, and hazardous materials were stored out of children’s reach, and all poisons were kept locked and inaccessible. No firearms or ammunition were present on the premises. LPA discussed the new pool safety requirements under Assembly Bill (AB) 2866, effective January 1, 2025, and informed the director of the associated Provider Information Notice (PIN 25-01-CCP) issued on January 6, 2025.

The facility's furniture and equipment were found to be in good repair, with no sharp or broken parts. Playground equipment was also in safe condition, and areas under climbing equipment had cushioning to absorb falls. The outdoor play area was free of hazards, and the facility had functioning carbon monoxide detectors. Restrooms and handwashing stations were clean and operable, and floors throughout the facility were clean and safe. All trash containers had tight-fitting lids and were in good repair.

Drinking water was readily accessible indoors and outdoors via fountains, dispensers, personal water bottles, and disposable cups. The facility provides breakfast and lunch, which are prepared in the school cafeteria and served in the classroom. Weekly menus were posted in an area visible to authorized representatives.

(Continued on LIC809-C)

Cynthia BrannonTELEPHONE: (559) 650-7884
Aurelio MendozaTELEPHONE: (559) 815-8119
DATE: 04/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: DON PEDRO STATE PRESCHOOL
FACILITY NUMBER: 500319966
VISIT DATE: 04/07/2025
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Capacity and teacher-child ratios were in compliance during the inspection. At least one staff member trained in CPR and Pediatric First Aid was present during program hours. Children were under visual supervision at all times. The director has designated a fully-qualified staff member to act in her absence, and this information has been reported to the Department.

A review of children’s files showed they contained all required documentation, including emergency contact information and medical assessments. Staff files reviewed included health screenings, immunization records for influenza, pertussis, and measles, and current documentation of completed Mandated Reporter Training.

LPA discussed the Community Care Licensing website (www.ccld.ca.gov), which provides access to licensing forms, regulations, PINs, and quarterly updates. Reporting Requirements were reviewed as outlined in Title 22, Section 101212. Director Mary Gonzales was reminded that all adults over the age of 18, including volunteers and staff, must have a criminal record clearance or exemption prior to being present at the facility, as outlined in Health and Safety Code section 1596.871. Civil penalties apply for violations.

LPA reviewed compliance with AB 2370, which requires licensed child care centers built before January 1, 2010, to test drinking water used for consumption and food preparation for lead contamination. This testing must be completed by January 1, 2023, and repeated every five years. Facilities licensed after July 1, 2022, must test water within 180 days of licensure per PIN 21-21.1-CCP. The facility has completed lead testing in accordance with these requirements. More information can be found at: www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information.

The facility provides Incidental Medical Services (IMS). LPA reviewed the storage of medication, as well as related documentation and procedures. For more information, the director was referred to PIN 22-02-CCP. Information regarding the Americans with Disabilities Act (ADA) was also provided, including contact numbers and the ADA child care resource: https://www.ada.gov/resources/child-carecenters/.

Director Mary Gonzales was also informed about MyChildCarePlan.org, a consumer education website that connects families to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

At the conclusion of the inspection, an exit interview was conducted and the report was reviewed with Director Mary Gonzales. Appeal rights were provided. No deficiencies were cited during today’s visit. A Notice of Site Visit (LIC 9213) was issued and must remain posted for 30 days. This report shall be made available to the public upon request. (End of Report)

SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Aurelio MendozaTELEPHONE: (559) 815-8119
LICENSING EVALUATOR SIGNATURE:

DATE: 04/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2025
LIC809 (FAS) - (06/04)
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