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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406467
Report Date: 02/12/2025
Date Signed: 02/12/2025 10:07:44 AM

Document Has Been Signed on 02/12/2025 10:07 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FRESNO CITY COLLEGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
100406467
ADMINISTRATOR/
DIRECTOR:
PHENGSIRI J & ANTONIO EFACILITY TYPE:
850
ADDRESS:1621 EAST UNIVERSITY AVETELEPHONE:
(559) 443-8618
CITY:FRESNOSTATE: CAZIP CODE:
93704
CAPACITY: 130TOTAL ENROLLED CHILDREN: 66CENSUS: 54DATE:
02/12/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:51 AM
MET WITH:Jessica PhengsiriTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
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On February 12, 2025, Licensing Program Analyst Miguel Herrera conducted an unannounced Case Management Inspection. LPA met with Director, Jessica Phengsiri. LPA toured the facility, and a census was taken. The purpose of today's inspection was regarding an Unusual Incident that was self reported to the Fresno Childcare Regional Office, the incident occurred on 2/10/2025. The incident involved a child sustaining an injury while playing soccer in the facility's playground that needed medical treatment.

During today’s visit LPA Herrera conducted facility observations, interviewed staff, and reviewed facility records pertinent to the incident. During the facility tour LPA Herrera conducted observations in the outdoor play area where the incident occurred. The surface of the outdoor play area was maintained in a safe condition and was free of hazards. LPA Herrera did not observe any potholes or any other tripping hazards in the playground's grass areas that could pose a danger to children in care.

Based on interviews, the child attempted to kick the ball but tripped and fell on their right shoulder. Per interviews, staff immediately provided aid to the child and contacted their authorized representatives. During today's inspection LPA Herrera observed that the facility practiced proper supervision of children inside and outside the classroom. The facility practiced zoning in the outdoor space to ensure children were always supervised and that there was a direct view of each zone in the outdoor space area. Furthermore, it was an isolated incident and staff took appropriate measures to address the incident, following appropriate policies, regulations, and reporting requirements. Furthermore, based on interviews LPA Herrera determined that the facility was within ratio and was practicing proper supervision during the time of the incident. Teacher/child ratios are maintained, and adequate supervision is being provided during this visit.

Exit interview conducted and report was reviewed with Director Jessica Phengsiri. Appeal rights were provided. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there are no deficiencies cited during today’s inspection. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE: DATE: 02/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/12/2025
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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