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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808932
Report Date: 11/09/2022
Date Signed: 11/09/2022 10:06:29 AM

Document Has Been Signed on 11/09/2022 10:06 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:KIDZ CAN 2FACILITY NUMBER:
103808932
ADMINISTRATOR:ALEJANDREZ, NANCYFACILITY TYPE:
840
ADDRESS:130 NORTH U STREETTELEPHONE:
(559) 492-2907
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 7DATE:
11/09/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Nancy AlejndrezTIME COMPLETED:
10:15 AM
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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 Teacher Ezula Avila. The purpose of today's inspection was to follow-up with the deficiencies that were cited during the unannounced visit on 10/07/2022.

During the inspection 10/07/2022, the facility was cited for 101538.2(b) Outdoor Activity Space for School-Age Children. (b) In combination programs, outdoor activity space provided for school-age child care center children shall be physically separated from space provided for other child care center children. Licensee agreed to submit written proof that both preschool and school age children will not co-mingling by having different schedule for preschool and school age outside. Licensee was to submit proof schedule to Community Care Licensing-Fresno Regional Office 11/07/2022.



On 10/21/2022, Licensee submitted written proof of the preschool and school age children schedule indicated that the children will not co-mingling by having different schedule for preschool and school age outside. Per the schedule, the Preschool Children will have their AM Break from 10:50 AM-11:30 AM and PM Break from 3:05 PM-3:55 PM. The School Age Children will have their AM Break from 9:00 AM-9:45 AM and PM Break from 2:00 PM to 2:45 PM. The deficiency was clear on 11/9/2022 but Licensee submitted the POC timely by 11/07/2022.

Another deficiency was cited for HSC 101212 d) Upon the occurrence… 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... within seven days.... (1) Events reported shall include... (c) any unusual incident or child absence that threatens the physical or emotional health or safety of any child.

(Continued on LIC809-C)
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: KIDZ CAN 2
FACILITY NUMBER: 103808932
VISIT DATE: 11/09/2022
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This requirement was not met as evidenced by interviewed and observation as Licensee failed to report that the facility was closed on 07/27/2022 due to the children’s toilets were clogged and caused an odor in the facility and the facility running water was shut off because of the toilets clogged. This poses a potential health, safety, or personal rights risk to persons in care.

On 10/18/2022, an Informal Meeting was completed at the Fresno Regional Office. During the meeting, Licensee, Licensing Program Manager (LPM) and Licensing Program Analyst (LPA) agreed that Licensee is to submit the Unusual Incident Report (UIR) occurred on 07/27/2022 by 11/07/2022. On 10/19/2022, Licensee submitted the UIR for 07/27/2022. The deficiency was clear on 11/9/2022 but Licensee submitted the POC timely by 07/27/2022.

During today’s inspection, LPA observed the facility have 2 restrooms located in the preschool area classroom. One of the restrooms is for the preschool boys, school age boys and school age girls. The second bathroom is for the preschool girls. LPA observed that there was one toilet located in the first restroom that had the stall installed to allow privacy for the school age boys and girls. Licensee is to ensure that there are protocols that when the preschool boys in the bathroom then the school age boys or school age girls are not allow in or use the bathroom to prevent co-mingling.

LPA reviewed documentation and observed the facility inside and outside and licensee met the POC. During this inspection, LPA did not observe any procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, Chapter 1, there is no deficiency cited during today's inspection. Exit interview conducted with facility representative Alyssa Ybarra.
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
LIC809 (FAS) - (06/04)
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