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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100404631
Report Date: 11/02/2022
Date Signed: 11/02/2022 01:48:19 PM

Document Has Been Signed on 11/02/2022 01:48 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:KIDS KARE FIG GARDENFACILITY NUMBER:
100404631
ADMINISTRATOR:BECERRA, ALICIAFACILITY TYPE:
850
ADDRESS:1375 W. BULLARD AVENUETELEPHONE:
(559) 436-0578
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: DATE:
11/02/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Cristina PerezTIME COMPLETED:
02:15 PM
NARRATIVE
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On 11/02/2022, Licensing Program Analysts (LPAs) Ka Vang and Jose Penate arrived at the facility to conduct an unannounced case management inspection. LPAs met with Cristina Perez. A tour of the facility was conduct and census was taken. LPAs explained the purpose of today’s inspection was to follow-up with a case management visit regarding the facility failed to report an unusual incident that staff in the facility was tested positive for COVID-19.

On 08/03/2022, Licensing Program Analyst (LPA) Ka conducted an unannounced inspection at the facility and during the inspection interview, LPA met with Staff #1 (S1). Per S1, there have been multiple staff who tested positive for COVID-19 and they reported their COVID-19 positive result to S1 prior to LPA conducted the unannounced visit on 08/03/2022. S1 stated that she did not report the multiple positive results to Community Care Licensing (CCL)-Fresno Regional Office due to the Centers for Disease Control and Prevention (CDC) did not require a day care facility to report any COVID-19 positive to them.

On 08/10/2022, LPAs Ka and Jose Penate conducted another unannounced visit to the facility and interviewed was conducted. Per the interviews, it was determinate that facility staff have been tested positive for COVID-19 while they were at the facility. During this visit, LPAs explained to S1 that a multiple COVID-19 positive results for staff is required to report to CCL. It is required that if there is any unusual incident that occurred at the facility that threatens the physical or emotional health or safety of any children in care, facility is to report to the CCL Department by telephone or fax within the CCL Department’s next working day and submit a written report containing the information to the CCL Department within seven days followed the unusual incident occurred.

Per interview, it was confirmed that staff at the facility have tested positive for COVID-19 and quarantined and returned to the facility; however, facility failed to report to CCL.

On 11/02/2022, LPA conducted FAS and record review and facility had not reported those unusual incidents of COVID-19 positive individual to the CCL-Fresno Regional Office.

(Continued on LIC809-C).

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: KIDS KARE FIG GARDEN
FACILITY NUMBER: 100404631
VISIT DATE: 11/02/2022
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency is being cited on the attached LIC 809-D, see next page.

A Notice of Site Visit Form (LIC 9213) is required to post for 30 days. An exit interview was conducted with facility director Cristina Perez.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/02/2022 01:48 PM - It Cannot Be Edited


Created By: Ka Vang On 11/02/2022 at 09:38 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: KIDS KARE FIG GARDEN
FACILITY NUMBER: 100404631

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/16/2022
Section Cited
CCR
101212(d)(1)(E)

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Reporting Requirements: (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1)…a report shall be made to the Department by telephone or fax within the Department's next working day... In addition, a written report containing the information specified in (d)(2) shall be submitted to the Department within seven days following the
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Licensee was provided with text regulation for deficiency being cited as well as resources available to providers via the Department’s website. Resources include child care videos on topics related to Child Care Reporting Requirements. Website information and steps for accessing the videos provided.
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occurrence of such event. (1) Events reported shall…(E) Epidemic outbreaks. This requirement was not met as evidenced by:
Based on interviews, the licensee did not comply with the section cited above as licensee failed to report all COVID-19 positive individual to the Department of Social Service-Community Care Licensing as described in LIC 809. Licensee has not submitted the written report to the Department. This poses a potential risk to the health, safety, or personal rights of children in care.
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 LPA was informed by director that the facility administration will follow-up with their Plan of Correction and submit to CCL-Fresno by 11/16/2022.

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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:Michael Duarte
LICENSING EVALUATOR NAME:Ka Vang
LICENSING EVALUATOR SIGNATURE:
DATE: 11/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/02/2022


LIC809 (FAS) - (06/04)
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