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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808649
Report Date: 01/09/2023
Date Signed: 01/09/2023 06:53:12 PM


Document Has Been Signed on 01/09/2023 06:53 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:A PLACE TO GROW MONTESSORIFACILITY NUMBER:
543808649
ADMINISTRATOR:VEDENOFF,BLAIR/CLANCY,NINAFACILITY TYPE:
850
ADDRESS:3535 SOUTH AKERSTELEPHONE:
(559) 627-3535
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:146CENSUS: 80DATE:
01/09/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:10 PM
MET WITH:Blair VedenoffTIME COMPLETED:
02:30 PM
NARRATIVE
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On 1/9/2023, Licensing Program Analyst, (LPA) Theresa Marquez conducted a Case Management inspection and met with Director Blair Vedenoff. LPA Marquez observed the condition of the preschool and took a census. The purpose of this inspection is in regards to a self reported incident that occurred at the preschool on 12/15/2022.
On 12/15/2022, during lunch break, 4 staff were supervising 43 children in the playground. A child exited the playground through a gate and walked onto the front facility parking lot unsupervised. Staff in the front office observed the unsupervised child and redirected the child back to the playground. Staff estimate that the child was unsupervised for under 3 minutes. The child's parent were immediately notified of the incident. The same day, the facility installed weatherproof gate/door alarms onto the 3 outgoing gates to prevent future elopements.
LPA Marquez informed Director Vedenoff that this report dated 1/9/2023 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Marquez informed the Director Vedenoff to provide a copy of this licensing report dated 1/9/2023, that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An immediate $500 Zero Tolerance penalty is being assessed today.

Per Chapter, Division 12, Title 22 of the California Code of Regulations, the following deficiency is cited. See the attached LIC809-D. An exit interview was conducted and report was reviewed with Blair Vedenoff. A copy of Appeal Rights and the Notice of Site Visit were given and must remain posted for 30 days.

SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2023
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 01/09/2023 06:53 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: A PLACE TO GROW MONTESSORI

FACILITY NUMBER: 543808649

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/10/2023
Section Cited

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RESPONSIBILITY FOR PROVIDING CARE & SUPERVISION- The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child 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.
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Weatherproof gate/door alarms have been installed on 3 of the 3 outside gates. All parents were notified of this incident via email on 12/19/2022.
All staff are to review the CCL video SUPERVISING CHILDREN
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This requirement was not met as evidenced by Director self reported an incident on 12/15/2022 of a child exiting the playground through a gate and walked onto the front facility parking lot unsupervised. This poses an immediate risk to the health, safety or personal rights of children in care.
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IN CHILD CARE CENTERS. Director is to submit a signed staff roster as evidence that ALL staff have reviewed the CCL video by
1/13/2023.

An immediate $500 Zero Tolerance penalty is being assessed today.

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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: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 01/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/09/2023
LIC809 (FAS) - (06/04)
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