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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808267
Report Date: 02/24/2023
Date Signed: 02/24/2023 08:57:08 AM

Document Has Been Signed on 02/24/2023 08:57 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HANSEL & GRETEL III WISHONFACILITY NUMBER:
103808267
ADMINISTRATOR:PA YANGFACILITY TYPE:
850
ADDRESS:2045 N. WISHONTELEPHONE:
(559) 227-5436
CITY:FRESNOSTATE: CAZIP CODE:
93704
CAPACITY: 25TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
02/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Pa YangTIME COMPLETED:
09:00 AM
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On 02/24/2023, Licensing Program Analyst (LPA) Jeovanna Yanez and Licensing Program Manager (LPM) Rene Mancinas conducted an unannounced case management inspection. LPA and LPM toured the facility and a census was taken. LPA met with Site Supervisor, Pa Yang. The purpose today's inspection was to follow up an incident regarding practices and policies involving children's privacy. This incident was reported to the Fresno Community Care Licensing Office on 1/12/23 by Site Supervisor.

LPA reviewed pertinent documentation at the facility. LPA interviewed parents, staff, and reviewed restroom supervision/privacy polices at the facility. Information obtained revealed facility implements proper policies and procedures pertaining to supervision and children's privacy.



Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with Site Supervisor, Pa Yang.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2023
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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