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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808916
Report Date: 02/26/2024
Date Signed: 02/26/2024 04:37:09 PM

Document Has Been Signed on 02/26/2024 04:37 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:EDUCARE EARLY STARS PRESCHOOLFACILITY NUMBER:
103808916
ADMINISTRATOR:MAI KUE CHANGFACILITY TYPE:
850
ADDRESS:5202 N. BLYTHETELEPHONE:
(559) 271-7827
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 34DATE:
02/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Mai Kue Chang-Site SupervisorTIME COMPLETED:
04:50 PM
NARRATIVE
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On 02/26/2024, Licensing Program Analyst (LPA) Ka Vang conducted an unannounced Case Management - Other inspection and met with Site Supervisor Mai Kue Chang. The purpose of today’s inspection was to follow up on the information that received in CCL-Fresno Office. During the inspection, LPA toured the facility, records were reviewed, and census was conducted.

During record review, LPA observed that Staff #1 (S1) had background clearance associated with another daycare center; however, S1's background clearance was not associated with this facility. Per record review and interview, S1 had been working at this facility since 01/2023 as a front desk staff. During the interview, it was confirmed that S1 did not provide direct supervision of the children in care. S1 works in the front desk.



Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there is a deficiency been cited during today’s inspection. (See page LIC809-D for additional information).

Site supervisor was provided a copy of appeal rights. A notice of site visit (LIC 9213) was given and must remain posted for 30 days. This report shall be made available to the public upon request.

Exit interview conducted and report was reviewed with Site Supervisor.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2024
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 02/26/2024 04:37 PM - It Cannot Be Edited


Created By: Ka Vang On 02/26/2024 at 03:44 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: EDUCARE EARLY STARS PRESCHOOL

FACILITY NUMBER: 103808916

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2024
Section Cited
CCR
101170(e)(2)

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(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or
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Per Site Supervisor, she will ensure that Staff #1 does not have access to the children in care. Site Supervisor will immediately have Staff #1 complete the transferring background clearance documentation to have Staff #1's background clearnace associate with this facility. Site Supervisor agrees to submit proof to CCL-Fresno by 03/04/204.
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Based on observation, the licensee did not comply with the section cited above. Based on the interview, it was disclosed that Staff #1 did not have his/her background clearance transferred to be associate with this facility. This poses a potential health, safety, or personal rights risk to 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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Ka Vang
LICENSING EVALUATOR SIGNATURE:
DATE: 02/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/26/2024


LIC809 (FAS) - (06/04)
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