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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808531
Report Date: 12/22/2021
Date Signed: 12/22/2021 12:40:18 PM

Document Has Been Signed on 12/22/2021 12:40 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:NEW LIFE FIGARDEN SCHOOLFACILITY NUMBER:
103808531
ADMINISTRATOR:DESIRAI RIOSFACILITY TYPE:
830
ADDRESS:4230 W. FIG GARDEN DR.TELEPHONE:
(559) 225-8687
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY: 16TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
12/22/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Rebecca Wilson-SummerfordTIME COMPLETED:
12:45 PM
NARRATIVE
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On 12/22/2021, Licensing Program Analysts (LPAs) Jeovanna Yanez and Luisa Gavoutian conducted an unannounced case management inspection. LPAs met with Nurturing Coordinator, Rebecca Wilson-Summerford. The purpose of today’s inspection was to address an incident that occurred on 05/15/2020, which was not reported to Community Care Licensing (CCL).

The facility failed to report the incident to CCL, as required. This incident involved Staff #1 conducting themselves in a manner that affected the Personal Rights of children in care. LPAs discussed reporting requirements with the Director and the responsibility of the facility to report all unusual incidents to CCL within 24 hours of occurrence. CCR Section 101212(d)(1)(C) states, “(d) 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. 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. (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.” An informal office meeting will be conducted at the Fresno Regional Child Care Office on the near future.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiency was found: (see LIC809-D). Exit interview conducted and report was reviewed with the Rebecca Wilson-Summerford.

A notice of site visit was given and must remain posted for 30 days, along with a copy of this report.

SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 12/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/22/2021
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 12/22/2021 12:40 PM - It Cannot Be Edited


Created By: Jeovanna Yanez On 12/21/2021 at 05:18 PM
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 FIGARDEN SCHOOL
FACILITY NUMBER: 103808531

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/22/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
12/30/2021
Section Cited
CCR
101212(d)

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Reporting Requirements; Upon the occurrence… 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… In addition, a written report… shall be submitted to the Department within seven days… This requirement was not met as evidenced by:
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Licensee stated they shall review regulation section 101212 and submit a statement of understanding to the Department. Additionally, Directors shall complete and submit form LIC 624 to the Department by 12/30/2021.
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record review. This incident was not reported to the Fresno Regional Office. This poses a potential risk to the health, safety, and personal rights of children in care.
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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:Diana deLeon
LICENSING EVALUATOR NAME:Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:
DATE: 12/22/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/22/2021


LIC809 (FAS) - (06/04)
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