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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808952
Report Date: 11/08/2023
Date Signed: 11/08/2023 11:01:41 AM

Document Has Been Signed on 11/08/2023 11:01 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:LIGHTHOUSE FOR CHILDREN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
103808952
ADMINISTRATOR:DANIEL, BARBARAFACILITY TYPE:
850
ADDRESS:2405 TULARE STTELEPHONE:
(559) 443-4858
CITY:FRESNOSTATE: CAZIP CODE:
93721
CAPACITY: 96TOTAL ENROLLED CHILDREN: 27CENSUS: 26DATE:
11/08/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Barbara Daniel TIME COMPLETED:
11:05 AM
NARRATIVE
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On 11/08/23, Licensing Program Analyst Denisia Jimenez conducted an unannounced case management inspection. LPA met with Program Manager, Barbara Daniel. The purpose of the inspection was regarding an incident report that was submitted to Community Care Licensing regarding an incident that occurred at the facility on 10/31/23.
Barbara stated that on the date of the incident, Child #1 was outside and went back inside the classroom to get their coat. Staff #1 was holding the door for the children to go outside. Staff #2 was inside the classroom, carrying the water canister and passed by Staff #1 and walked outside. Staff #1 was still standing there holding the door when another child approached Staff #1, started talking about something and Staff #1 let go of the door. Before all staff and children went outside, one of the staff had contacted Staff #3 to unlock the doors, it’s an everyday safety practice. Staff #3 went to the door to unlock it when Staff #3 saw Child #1 standing by the door. Staff #3 asked child #1 what child #1 was doing in the classroom and child #1 stated he was looking for their coat. Staff #3 helped child look for their coat and once found, Staff #3 took the child outside to play with the rest of the children. Barbara stated Child #1 parent was contacted and explained to the parent the incident. The parent understood. Through interviews conducted, it was confirmed that Child #1 was left unattended for 1-2 minutes. LPA will issue a Type B citation. LPA spoke to Barbara and reminded them to have visual supervision of children at all times whether they are outside or inside the classroom. Barbara indicated that she provided supervision training resources and reminded all staff of the importance of child supervision, keeping count of children at all times, and communicating with other teachers present when taking children indoors.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiency Type B is being


cited (see 9099-D)

Exit interview conducted report and appeal rights was reviewed with the facility Program Director Barbara Daniel. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2023
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 11/08/2023 11:01 AM - It Cannot Be Edited


Created By: Denisia Jimenez On 11/08/2023 at 10:40 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: LIGHTHOUSE FOR CHILDREN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 103808952

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/08/2023
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Program Manager stated she will be having a training on active supervision before the end of the month 11/30/23 and Program Manager will submit to LPA proof of training.
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This requirement is not met as evidenced by:Based interview, the
licensee did not comply with the section cited above.
During today's inspection LPA gathered information that staff left a child unattented for 1-2 minutes 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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Denisia Jimenez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2023


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