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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810106
Report Date: 09/28/2023
Date Signed: 09/28/2023 11:06:19 AM

Document Has Been Signed on 09/28/2023 11:06 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:JACK & JILL'S EARLY CHILD DEVELOPMENT CENTER, INCFACILITY NUMBER:
103810106
ADMINISTRATOR:GRAVES, EARLINE EVETTEFACILITY TYPE:
830
ADDRESS:969 S WILLOW AVETELEPHONE:
(559) 255-8817
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 9DATE:
09/28/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Raquel MorenoTIME COMPLETED:
11:15 AM
NARRATIVE
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On 09/28/2023 Licensing Program Analyst (LPA) Julie Baptista conducted a case management visit at facility. During today’s visit, LPA observed 9 infants with 4 staff. During an inspection on 8/17/2023, LPA Baptista observed infants being supervised in the same classroom as preschool and school-age children. On 8/17/2023 at 7:30 AM, LPA observed that a staff member came into school-age room and gathered infants (ages 1 1/2 to 2 years old) to take them to the building next door to the toddler room. Multiple staff stated that during the early morning up to about 7:30 am was considered transition time and all the children were supervised in one room until more staff arrived for work and the children were taken to other classrooms.
Per regulation, infants shall have separate play areas and shall not be commingled with other age groups. See 809-D.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited. (see next page 809-D). Exit interview conducted with Office Manager, Raquel Moreno. Plan Of Correction/Appeal Rights were given and discussed. A Notice of Site Visit was posted on parent board in the presence of LPA Baptista.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
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 11:06 AM - It Cannot Be Edited


Created By: Julie Baptista On 09/28/2023 at 10:35 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: 103810106

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
101438.3

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Indoor Activity Space for Infants (b) Indoor activity space for infants shall be physically separate from space used by children in the child care center and school-age child care center components. At the time of arrival of LPA on 8/17/2023 at 7:20 AM, LPA observed school-age children as well as preschool children present and comingling with infants in care in one room. This poses a potential health, safety and/or personal rights risk to children in care.
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Licensee has agreed to receive infants only in infant rooms. Licensee agrees to provide training for staff regarding the regulation to separate infants from other child care center children. Training outline along with staff sign in sheet to be received at the Fresno CCL office on or before POC date.

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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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