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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808851
Report Date: 03/22/2024
Date Signed: 03/22/2024 11:38:11 AM

Document Has Been Signed on 03/22/2024 11:38 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:STARTING BLOCKS CHILDREN'S ACADEMYFACILITY NUMBER:
103808851
ADMINISTRATOR:APRIL COXFACILITY TYPE:
840
ADDRESS:3315 E SIERRA MADRETELEPHONE:
(559) 227-7036
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: 0DATE:
03/22/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Sandra GrahamTIME COMPLETED:
11:45 AM
NARRATIVE
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On 03/22/2024 Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced inspection and met with Staff 1, who has Designation of Responsibilities at 9:45 a.m. Also present was Staff 2 and Staff 3. LPA was informed that Director, Sandra Graham was going to be in shortly, due to running a quick errand. LPA explained the reason for the unannounced inspection, showed badge, provided copies of business card, and conducted a census count and an inspection inside the center and the play yard. LPA observed three preschool children, yet no school age children were present during the unannounced inspection. Director, Sandra Graham arrived at 10:20 a.m..

On 3/21/2024 the department was notified of an incident that had occurred with Child 1. The department was notified that Child 1 was not picked up from their designated place of pick up. On today's date, LPA reviewed facility records. LPA reviewed Plan of Operations for Transportation. LPA obtained copies of the transportation contract. Based upon observations, and information gathered through interviews and facility records a Type B citation was issued on today's date under 101173 Plan of Operation (d) The child care center shall operate in accordance with the terms specified in the plan of operation. LPA gained evidence that center did not follow the center's plan of operation/ transportation contract/ policy.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page).

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: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2024
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 03/22/2024 11:38 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 03/22/2024 at 11:11 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: STARTING BLOCKS CHILDREN'S ACADEMY

FACILITY NUMBER: 103808851

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/05/2024
Section Cited
CCR
101173(d)

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101173 Plan of Operation (d) The child care center shall operate in accordance with the terms specified in the plan of operation. This requirement was not met as evidence by: Center did not notify parents/guardians and the elementary school office of not picking up a child
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Director stated that they will review the center's plan of operations/ transportation contract with all staff in a meeting/training. Director stated they will provide the department with a meeting/training agenda and staff signatures by POC due date of 4/5/2024.
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from school, as per the center's plan of
operation under the center's transportation contract, which poses/posed a potential health, safety or personal rights risk to persons 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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/22/2024


LIC809 (FAS) - (06/04)
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