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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801239
Report Date: 09/27/2022
Date Signed: 09/27/2022 12:10:49 PM

Document Has Been Signed on 09/27/2022 12:10 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:NEW LIFE DISCOVERY SCHOOL (KEATS)FACILITY NUMBER:
103801239
ADMINISTRATOR:WILKINSON, BRANDYFACILITY TYPE:
850
ADDRESS:420 E. KEATSTELEPHONE:
(559) 222-8687
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 87TOTAL ENROLLED CHILDREN: 87CENSUS: 34DATE:
09/27/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Samantha RodriguezTIME COMPLETED:
12:30 PM
NARRATIVE
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On 9/27/22 Licensing Program Analyst (LPA) Caroline Harris conducted an unannounced complaint inspection. LPA met with director, Samantha Rodriguez and a census was taken. The purpose of this report is to cite a deficiency that was discovered during the investigation.

On 9/26/22 the center had their main water line shut off by the city due to it leaking into the road. Although maintenance fixed the leak and turned the water back on, the center was open and operating for an hour with the water turned off and children were present. This incident was not reported to Community Care Licensing (CCL).

California Code of Regulations, Title 22, Division 12, Chapter (1), are being cited on the attached LIC 9099D. An exit interview was conducted with Samantha Rodriguez. A printed copy of this report as well as appeal rights were provided to Ms. Rodriguez at the conclusion of the visit. A Notice of Site Visit is to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022
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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Document Has Been Signed on 09/27/2022 12:10 PM - It Cannot Be Edited


Created By: Caroline Harris On 09/27/2022 at 11:30 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: NEW LIFE DISCOVERY SCHOOL (KEATS)
FACILITY NUMBER: 103801239

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
10/03/2022
Section Cited
CCR
101212(d)(C)

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Reporting Requirements. Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
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The director agrees to watch the "Child Care Reporting Requirements" video on the CCL website and write a statement of what those requirements are. The statement will be submitted with the unusual incident report by the due date of 10/3/22.
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 In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Caroline Harris
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2022


LIC809 (FAS) - (06/04)
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