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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810105
Report Date: 09/28/2023
Date Signed: 09/28/2023 11:02:20 AM

Document Has Been Signed on 09/28/2023 11:02 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:JACK & JILL'S EARLY CHILD DEVELOPMENT CENTER, INCFACILITY NUMBER:
103810105
ADMINISTRATOR:GRAVES, EARLINE EVETTEFACILITY TYPE:
840
ADDRESS:969 S WILLOW AVETELEPHONE:
(559) 255-8817
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 55TOTAL ENROLLED CHILDREN: 55CENSUS: 0DATE:
09/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Raquel MorenoTIME COMPLETED:
11:30 AM
NARRATIVE
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On 9/28/2023 Licensing Program Analyst, (LPA) Julie Baptista conducted a case management inspection at facility. During today’s inspection at 9:30 AM, no school-age children were at facility. School-age children arrive in the early morning and the facility provides transport to local schools. LPA Baptista conducted an inspection on 8/17/2023. During the inspection, LPA toured the facility and entered the preschool play yard. At 8:15 am on 8/17/2023, LPA observed 13 children playing in the preschool outdoor area with 2 staff in attendance. 10 of the children were preschool children and 3 of the children were school age. Staff stated that the 3 school-age children did not start school until next week when their school district resumes session. The children were playing in the sand together, climbing on the climbing structure by the slide, and sitting at a table conducting a play activity. Staff were observed supervising and talking with the children. The following is cited per Title 22 Regulations, Outdoor Activity space for school-age children shall be physically separated from space provided for other child care center children.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see next page 809-D). Exit interview was conducted with Office Manager, Raquel Moreno.

Licensee was provided a copy of appeal rights.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.


LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Julie Baptista
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
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 09/28/2023 11:02 AM - It Cannot Be Edited


Created By: Julie Baptista On 09/28/2023 at 10:26 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: JACK & JILL'S EARLY CHILD DEVELOPMENT CENTER, INC
FACILITY NUMBER: 103810105

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/28/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/27/2023
Section Cited
CCR
101538.2

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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 LPA observed school-age children playing with preschool children in the preschool outdoor play area at the same time. This is a potential health, safety, and/or personal rights risk to children in care.
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Director agrees to have school age children utilize the outdoor play area at different times than the other child care children. Director agrees to provide training for staff on regulation and send attendance sign in and minutes of training. Director agrees to follow the conditions of the outdoor waiver that CCLD approved on 9/09/2020; All conditions of the waiver should be observed including that the times of use of the outdoor space are staggered so that comingling of children from different programs does not occur.

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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:Cynthia Brannon
LICENSING EVALUATOR NAME:Julie Baptista
LICENSING EVALUATOR SIGNATURE:
DATE: 09/28/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/28/2023


LIC809 (FAS) - (06/04)
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