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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808932
Report Date: 10/07/2022
Date Signed: 10/07/2022 12:13:19 PM


Document Has Been Signed on 10/07/2022 12:13 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:KIDZ CAN 2FACILITY NUMBER:
103808932
ADMINISTRATOR:ALEJANDREZ, NANCYFACILITY TYPE:
840
ADDRESS:130 NORTH U STREETTELEPHONE:
(559) 492-2907
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY:12CENSUS: 0DATE:
10/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Ezula AvilaTIME COMPLETED:
12:30 PM
NARRATIVE
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On 10/07/2022, Licensing Program Analysts (LPAs) Ka Vang and Cynthia Brannon conducted an unannounced case management inspection. LPA met with Ezula Avila. A tour of the facility was conducted both inside and outside. During today's inspection, no school age children were present. Facility hours of operation is Monday through Friday, 6:00 AM to 6:30 PM. During today's and previous inspections, Director, Christina Cordova, was not present. Per staff, director does not arrive until 10:00 AM or 11:00 AM and leaves between 1:00 PM and 2:00 PM. LPA reviewed with S1, the required the hours that a director is to be present in the facility.

LPAs explained the purpose of today’s inspection was to follow-up with a case management visit regarding the facility did not have a director, the preschool and school age children co-mingled during the outdoor activities and facility failed to meet reporting requirement.

LPA conducted three separate unannounced visits and during each visit, LPA was informed that Director, Christina Cordova, was not in the facility. LPA conducted record review and the facility designated representative was not the staff who met with LPA during these visits. Documentation on staff board reflects S1 named as director. Upon interview and observation, it was determined that the center did not have a director.

During interview and observation, it was determinate that the preschool and school age children co-mingling during outdoor recess as the outdoor space did not provide a physical separation for the preschool and school age children.

On 10/07/2022, LPA conducted record review and FAS, facility representative failed to report the unusual incident occurred on 07/24/2022 to CCL-Fresno Regional Office as the day care children’s toilets were clogged and caused an unusual odor in the preschool and school age classroom; therefore, the facility was closed. This poses a potential risk to the health, safety, or personal rights of children in care.

(Continued on LIC 809-C).

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka VangTELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2022
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 4


Document Has Been Signed on 10/07/2022 12:13 PM - It Cannot Be Edited

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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2022
Section Cited

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101515(b) School-Age Child Care Center Director Qualifications and Duties. (b) All school-age child care centers shall have a director.
This requirement was not met as evidenced by LPA conducted a file review, interview, and observation. Staff also stated that the director came to the facility when needed or three times
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a week. This poses a potential health, safety, or personal rights risk to persons in care.
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Type B
10/14/2022
Section Cited

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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. This requirement was not met as evidenced by:
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Per staff, both school age and preschool children engaged in outdoor activity at the same time. During unannounced visit, LPA also observed the school age and preschool children engaged in the same playground at the same without a physical separated spaced which poses 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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka VangTELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2022
LIC809 (FAS) - (06/04)
Page: 2 of 4


Document Has Been Signed on 10/07/2022 12:13 PM - It Cannot Be Edited

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

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/14/2022
Section Cited

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(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. This requirement was not met as evidenced by:
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Based on interview and observation, 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.
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the training to Community Care Licensing-Fresno Regional Office by 10/21/2022.

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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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka VangTELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:
DATE: 10/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/07/2022
LIC809 (FAS) - (06/04)
Page: 3 of 4


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: 10/07/2022
NARRATIVE
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Per the California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiencies are being cited on the attached LIC 9099D, see next page.

Facility Representative Ezula Avila was provided a copy of the appeal rights.

A Notice of Site Visit Form (LIC 9213) was given and is required to post for 30 days.



Exit interview conducted and report was reviewed with Facility Representative Ezula Avila.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Ka VangTELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:

DATE: 10/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2022
LIC809 (FAS) - (06/04)
Page: 4 of 4