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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808911
Report Date: 07/08/2022
Date Signed: 07/08/2022 10:56:17 AM


Document Has Been Signed on 07/08/2022 10:56 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:FARMERSVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
543808911
ADMINISTRATOR:GARCIA, ANGELAFACILITY TYPE:
850
ADDRESS:455 N. LINNEL AVENUETELEPHONE:
(559) 747-3155
CITY:FARMERSVILLESTATE: CAZIP CODE:
93223
CAPACITY:96CENSUS: 0DATE:
07/08/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Program Director, Hanadi RousanTIME COMPLETED:
11:00 AM
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An informal office meeting was conducted today at the Fresno Regional Child Care Office. In attendance at the meeting were Licensing Program Manager Susie Fanning, Licensing Program Analyst (LPA) Robert Gutierrez and Program Director Hanadi Rousan.

The purpose of this office meeting is to discuss a recent violation of Title 22 Regulations.

The following Type A Violation was discussed:
· 05/06/2022 - Health Related Services. The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. This requirement was not met as evidenced by interviews conducted during inspection. LPA was informed, on 04/26/2022 between 12:15 PM – 12:40 PM while at the center, C1 sustained a serious head injury requiring medical attention. However, the legal guardian of C1 was not informed of the injury until pick up at around 4:00 PM. This posed as an immediate risk to the health, safety, or personal rights of children in care.

During today’s meeting, licensee stated the facility shall comply with all Title 22 regulations.

It was discussed that continued violation of Title 22 Regulations may result in a Non-Compliance meeting and may be referred to our Legal Division for a possible Administrative Action.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert GutierrezTELEPHONE: (559) 978-8397
LICENSING EVALUATOR SIGNATURE:
DATE: 07/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/08/2022
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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