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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808366
Report Date: 11/09/2022
Date Signed: 11/09/2022 12:13:01 PM

Document Has Been Signed on 11/09/2022 12:13 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:SOUTHEAST FRESNO CHILD DEVELOPMENT CENTERFACILITY NUMBER:
103808366
ADMINISTRATOR:LAM, KUNTHEARFACILITY TYPE:
850
ADDRESS:5191 E TULARE STTELEPHONE:
(559) 252-6445
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 10DATE:
11/09/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Vannarith Lam and Tia LamTIME COMPLETED:
12:30 PM
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On 11/09/2022, Licensing Program Analysts (LPAs) Ka Vang and Cynthia Brannon conducted an unannounced case management inspection. LPAs toured the facility, and a census was taken. LPAs met with Licensee Tia Lam and Vannarith Lam. The purpose of today's inspection was to follow up the Plan of Correction (POC) for the deficiencies issued on 10/07/2022 during the unannounced inspection visit.

During today’s inspection, LPA Ka observed that the wooden benches was resurfaced and painted. LPA observed that there was no peeling off paint or wood chip that may poses a potential health, safety or personal rights risk to persons in care.



LPA Ka observed that the play kitchen components, one yellow bookcase and two blue bookcases are securely anchored and it will not tip over onto children.

LPA Ka conducted children’s file reviewed and Child #5 have his physicians report completed. Child #4 did not have the physicians report completed, but per child’s mother on the phone, the mother has scheduled to take child for physical check to complete the physicians report on 12/15/2022. Licensee agree to submit proof to LPA by 11/10/2022 that child is schedule for a physical check on 12/15/2022. Per record reviewed, Child #3 was no longer attending the facility as of 05/30/2022. Licensee stated that it was her error that she failed to removed the file. Moving forward, Licensee agreed to keep separated of the files that children still enrolled and children who are no longer attended the facility.

LPA Ka also observed the infant’s refrigerator and licensee had followed protocol of appropriately store the infant’s food with their name and the date the food was put in the refrigerator.

During today’s inspection, Licensee removed the worn-out tarp and pending for the new tarp to arrive to install the new tarp. Licensee provided proof that the manufactory is sending their ordered tarp and may arriving this week by 11/12/2022. Licensee requested for extension of the POC due date for the tarp to provide more shade for the infant playground. The extension of the POC due date extend to 11/18/2022.

During today’s inspection, LPA did not observe any regulations being violated. Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency cited during today's visit.



Exit interview conducted with Licensee Vannarith Lam.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2022
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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