<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150400032
Report Date: 05/24/2023
Date Signed: 05/24/2023 01:38:58 PM

Document Has Been Signed on 05/24/2023 01:38 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:BAKERSFIELD PLAY CENTER, INCFACILITY NUMBER:
150400032
ADMINISTRATOR:ESPARZA, ANGIEFACILITY TYPE:
850
ADDRESS:1620 KENTUCKY STREETTELEPHONE:
(661) 325-4064
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93305
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 29DATE:
05/24/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Angie EsparzaTIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 05/24/2023, Licensing Program Analyst (LPA) Nancy Her conducted an unannounced case management inspection at the facility. LPA met with Site Supervisor Angie Esparza, to discuss an incident which occurred on 04/27/2023. A complete file review was conducted prior to visit. LPA toured facility inside and outside. LPA took a census and interviewed Site Supervisor.

On 04/27/2023 a child was left without the supervision of a teacher, including visual supervision which resulted in the injury of a child in care. Site Supervisor reported incident to Fresno Community Care Licensing on 05/04/2023.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited.

LPA Nancy Her informed facility representative Angie Esparza that this report dated 05/24/2023 document one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Nancy Her informed the facility representative to provide a copy of this licensing report dated 05/24/2023 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the facility representative Angie Esparza.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2023
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 2
Document Has Been Signed on 05/24/2023 01:38 PM - It Cannot Be Edited


Created By: Nancy Her On 05/24/2023 at 01:16 PM
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: BAKERSFIELD PLAY CENTER, INC
FACILITY NUMBER: 150400032

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/02/2023
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
(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...Supervision shall include visual observation.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Site Supervisor will train staff members on supervision of children. Site Supervisor will submit plan of prevention to Fresno South Child Care office by June 2, 2023.
8
9
10
11
12
13
14
Based on interview, a child was left without the supervision of a teacher, including visual supervision which resulted in the injury of a child in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Duane Matsubara
LICENSING EVALUATOR NAME:Nancy Her
LICENSING EVALUATOR SIGNATURE:
DATE: 05/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2023


LIC809 (FAS) - (06/04)
Page: 2 of 2