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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810038
Report Date: 03/08/2023
Date Signed: 03/08/2023 01:16:02 PM


Document Has Been Signed on 03/08/2023 01:16 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, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:ACADEMIC'S PLUS LEARNING CENTERFACILITY NUMBER:
503810038
ADMINISTRATOR:TOOR, HARINDERFACILITY TYPE:
850
ADDRESS:3217 TULLY RDTELEPHONE:
(209) 702-2112
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:30CENSUS: 12DATE:
03/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Billda Maberry - DirectorTIME COMPLETED:
01:30 PM
NARRATIVE
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On 3/8/23, Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced case management inspection. LPA met with Director, Billda Maberry to discuss Community Care Licensing (CCL) regulations. LPA toured the facility inside and outside. A census was obtained. During the inspection, LPA observed broken play equipment. LPA also observed a missing door knob. Both items observed were exposing pointed parts. LPA reviewed facility records and observed that facility has not been keeping a children's roster.

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

Exit interview conducted and report was reviewed with Director, Billda Maberry

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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023
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 2


Document Has Been Signed on 03/08/2023 01:16 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: ACADEMIC'S PLUS LEARNING CENTER
FACILITY NUMBER: 503810038

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/15/2023
Section Cited

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Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidenced by LPA observation. During today’s inspection LPA observed outside a big wheel toy with both
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During the inspection the toy was moved to an area which is inaccessible to children. Director stated she will have the missing door knob fixed and provide proof to Community Care Licensing by
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pedals missing. LPA also observed a door with a missing door knob. The missing items caused pointed parts to be exposed. This is a potential risk to the health, safety or personal rights of children in care.
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Type B
03/15/2023
Section Cited

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Current roster of children provided care in facility required. Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number
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Director stated she will complete a LIC 9040 and provide Community Care Licensing with a copy by 3/15/23. LPA provided Director with a LIC 9040 during today's inspection.
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of the child's physician. This roster shall be available to the licensing agency upon request. This requirement was not met as evidenced by LPA observation. LPA did not observe a children's roster. Director stated she has not kept one. This is 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: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2