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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808850
Report Date: 11/09/2023
Date Signed: 11/09/2023 02:49:50 PM

Document Has Been Signed on 11/09/2023 02:49 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:STARTING BLOCKS CHILDREN'S ACADEMYFACILITY NUMBER:
103808850
ADMINISTRATOR:APRIL COXFACILITY TYPE:
850
ADDRESS:3315 E SIERRA MADRETELEPHONE:
(559) 227-7036
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 39TOTAL ENROLLED CHILDREN: 39CENSUS: 2DATE:
11/09/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:31 PM
MET WITH:Marivel RuizTIME COMPLETED:
03:00 PM
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On 11/9/2023, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted a Case Management Plan of Correction inspection. The purpose of the inspection was to review the Plan of Correction for the deficiencies cited on 9/6/2023. Today, LPA met with Lead Teacher, Marivel Ruiz. LPA toured the facility, and a census was taken of two children in care.

LPA reviewed Deficiencies that were cited on 9/6/2023. LPA was able to clear eight deficiencies during the inspection and provided copies to Lead Teacher.

During record review it was observed that facility does not have a qualified Director on site. LPA also observed during record review that there were no staff members on site who had a completed LIC308 Designation of Facility Responsibility. LPA was not able to review staff files. LPA was informed that staff files had been moved to an off site location and were being reviewed.

Exit interview conducted and report was reviewed with Lead Teacher, Marivel Ruiz. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page). There were three civil penalties assessed on today's date for repeated violations.

This report shall be made available to the public upon request.

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
Document Has Been Signed on 11/09/2023 02:49 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 11/09/2023 at 02:01 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: STARTING BLOCKS CHILDREN'S ACADEMY
FACILITY NUMBER: 103808850

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/23/2023
Section Cited
CCR
101217(a)

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(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:
This requirement is not met as evidenced by:
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Staff 5 stated that they will review deficiencies with Staff 1 and Staff 2.
A complete file for Staff 1, Staff 2, and Staff 4 will be submitted to the Department by POC due date.
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LPA was informed on today's date that many of the staff files were moved off site and were not in the facility for LPA to review, which poses/posed a potential health, safety or personal rights risk to persons in care. Civil penalty was assessed on today's date for repeated violation.
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Type B
11/23/2023
Section Cited
CCR101215.1(f)

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(f) When the child care center director is absent from the center, arrangements shall be made for a fully qualified teacher as specified in Section 101216.1(c) to act as substitute. This substitute child care center director shall be aware of center operations, including total enrollment
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Staff 5 stated that they will review defiencies with Staff 1 and Staff 2. Staff 5 stated that an updated LIC308 will be completed and submitted to the Department by the POC due date.
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; ... This requirement is not met as evidenced by: LPA observed that there were no staff on site on today's date with a completed LIC308. Civil penalty was assessed on today's date for repeated violation.
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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:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2023


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 11/09/2023 02:49 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 11/09/2023 at 02:10 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: STARTING BLOCKS CHILDREN'S ACADEMY
FACILITY NUMBER: 103808850

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/23/2023
Section Cited
CCR
101215.1(d)

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 (d) The child care center director, or the substitute director as specified in (f) below, shall be on the premises during the hours the center is in operation. This requirement is not met as evidenced by:
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Staff 5 stated that they will review deficiency with Staff 1 and Staff 2. Staff 5 stated that the Department will be notified in writing the following: The hiring process of a Director and what is being done to get back in compliance. Document will be signed and dated.
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LPA was made aware that there is no Director on site or assistant director, which poses/posed a potential health, safety or personal rights risk to persons in care. Civil penalty was assessed on today's date for repeated violation.
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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:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/09/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/09/2023


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