100406903-1-17-2025-04-CC-PZAO-DCZPSJ-20250117103424

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100406903
Report Date: 01/17/2025
Date Signed: 01/17/2025 10:34:33 AM

Document Has Been Signed on 01/17/2025 10:34 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:	FUSD-BALDERAS		FACILITY NUMBER:	100406903
ADMINISTRATOR/ DIRECTOR:	BECKWITH, KIM		FACILITY TYPE:	850
ADDRESS:	4625 E. FLORENCE		TELEPHONE:	(559) 457-3690
CITY:	FRESNO	STATE: CA	ZIP CODE:	93725
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 24	CENSUS: 0	DATE:	01/17/2025
TYPE OF VISIT:	Office	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Kim Beckwith		TIME VISIT/ INSPECTION COMPLETED:	10:40 AM

NARRATIVE

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On 01/17/2025, Licensing Program Manager (LPM) Cynthia Brannon and Licensing Program Analyst (LPA) Priscilla Zamudio met with Health and Safety Supervisor, Charlotte Miranda, FUSD Program Manager Kim Beckwith and Operations Program Manager (ELD), Leah Diaz for an Informal Conference at the Fresno Regional Office.

The purpose of the informal conference was to discuss an unusual incident report and Type A deficiency cited during a case management inspection on 11/15/2024, regarding Care and Supervision.

LPM Brannon reviewed and discussed the deficiency with Health and Safety Supervisor, Charlotte Miranda and Program Manager Kim Beckwith and Operations Program Manager (ELD), Leah Diaz how the Child Care Center will maintain compliance with the deficiency cited below. Health and Safety Supervisor Charlotte Miranda has implemented a plan of correction since facility was cited.

The Department of Social Services, Community Care Licensing Division has determined that FUSD-BALDERAS violated licensing regulations pertaining to the operation of a Child Care Center:

The following Type A violation was discussed:

On 11/15/2024 –CCR 101229(a)(1) Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). This requirement was not met as evidenced by:

Based on interviews, the licensee did not comply with the section cited above. On 11/7/24, Child #1 was released to an unauthorized and unrelated adult, being without staff supervision for approximately 20 minutes. This poses an immediate health, safety, or personal rights risk to persons in care.

CONTINUED LIC 809

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-BALDERAS	FACILITY NUMBER: 100406903
	VISIT DATE: 01/17/2025

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Compliance Plan

In response to the deficiency, the licensee had agreed to the following:

Licensee will ensure staff follows updated procedures in place.

Today, Licensee was informed that any further repeats of the above deficiency will result in a Non-Compliance Conference and possible referral to the Legal Division for possible Administrative Action. LPM also went over (TSP) Technical Support program.

Licensee was informed that training videos are available on the Community Care Licensing website at https://cdss.ca.gov/inforesources/child-care-licensing/resources-for-providers

Licensee will remain compliance with Title 22, Division 12, Chapter 1 regulations at all times.

A copy of the signed report and appeal rights were provided to FUSD Program Manager Kim Beckwith.

No Deficiencies Cited during today’s Office Visit.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2025

LIC809 (FAS) - (06/04)

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