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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150402264
Report Date: 10/10/2024
Date Signed: 10/10/2024 03:03:44 PM

Document Has Been Signed on 10/10/2024 03:03 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:OLIVE KNOLLS CHRISTIAN SCHOOLFACILITY NUMBER:
150402264
ADMINISTRATOR/
DIRECTOR:		MAYES, WENDYFACILITY TYPE:
850
ADDRESS:6201 FRUITVALE AVENUETELEPHONE:
(661) 393-3566
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 217TOTAL ENROLLED CHILDREN: 217CENSUS: 103DATE:
10/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Alicia HowardTIME VISIT/
INSPECTION COMPLETED:
03:15 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 10/10/2024, Licensing Program Analyst (LPA) Christopher Burnias and Licensing Program Manager (LPM) Luisa Gavoutian met with Acting Director Alicia Howard at the facility to conduct a case management inspection related to an Unusual Incident that was reported to the Department. The reported incident indicated that two children’s restrooms flooded and were under construction.

LPA and LPM toured the facility inside and outside and took a census. LPA and LPM observed that the children’s restrooms located in the 300 building are currently being renovated and are not currently in use. Acting Director informed LPA and LPM that the restrooms located in the 100 and 200 buildings as well as in the Worship Center located on the property, are temporarily being used by children in care. Acting Director stated that permission slips have been signed by parents to allow for field trips to the Worship Center. LPA and LPM inspected the restrooms located in the Worship Center and observed that there are 9 toilet stalls able to be used by children in care. LPA and LPM reminded Acting Director that complete supervision must be provided at all times even when taking children to use the restrooms at the Worship Center.

During the tour of the facility. LPA and LPM observed that classroom 307 and 314 have also sustained damage due to the flooding and are also being currently renovated. Facility Staff indicated that renovations for classrooms and restrooms are scheduled to be completed by Tuesday, October 15, 2024. LPA and LPM also observed that Classroom 306 is currently being used as a storage room. Facility staff indicated that they will have the room cleared or submit an application to reduce capacity size. Staff will notify the Department of their decision by 10/18/24. In addition, it was observed that the name of Classroom 311 has been changed to Classroom 312.

**Continued on LIC 809-C**

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OLIVE KNOLLS CHRISTIAN SCHOOL
FACILITY NUMBER: 150402264
VISIT DATE: 10/10/2024
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
26
27
28
29
30
31
32
Upon review of the Unusual Incident Report submitted by the facility Director, LPA and LPM determined that the facility did not submit an Unusual Incident Report within the required timeframe. LPA and LPM discovered that the facility submitted an Unusual Incident Report to the Department on 09/30/24 to report an incident that occurred on 08/16/24 where the toilets in the children’s restrooms had flooded. Departmental records show that the facility called the Department on 09/30/24 to report the same incident that occurred on 08/16/24. LPA and LPM determined that reporting requirements were not met as the facility did not report the incident within the Department’s next working day by phone requirement or within seven days in writing requirement. A citation has been issued (See attached LIC 809-D).

Upon staff record review, LPA and LPM determined that although the facility has reported Alicia Howard as Facility Director as of March 2024, Ms. Howard does not meet education requirements to be a facility director. A review of Ms. Howard’s records showed that they have not completed required three units in each of the following categories: Administration, or Staff Relations, Child, Family and Community, and Care of Infants. Ms.Howard is currently enrolled in courses for Infant Development and Administration, and is expected to complete the courses in December 2024.

During the review of staff records, it was determined that Staff 1 (S1) met requirements to be a Facility Director. S1 will submit a Director Packet Application to the Department within 10 days.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, the following deficiency is cited (See attached form). Exit interview conducted and report was reviewed with Acting Director Alicia Howard. Acting Director was provided appeal rights. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 10/10/2024 03:03 PM - It Cannot Be Edited


Created By: Christopher Burnias On 10/10/2024 at 02:29 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: OLIVE KNOLLS CHRISTIAN SCHOOL
FACILITY NUMBER: 150402264

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2024
Section Cited
CCR
101212(d)

1
2
3
4
5
6
7
101212 (d)Reporting Requirements
Upon the occurrence… a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.

This regulation was not met as evidenced by
1
2
3
4
5
6
7
Adminsitrative staff stated they wil review regulations regarding Reporting Requirements. Staff will submit a statement indicating they have reviewed and understood the regulation and include the date the regulation was reviewed.
8
9
10
11
12
13
14
Based on document review, the facility submitted Unusual Incident Report and called the Department beyond required timeframe. Facility notified the Department 44 days after the incident occurred. This poses a potential health, safety, or personal rights risk to children 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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Christopher Burnias
LICENSING EVALUATOR SIGNATURE:
DATE: 10/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/10/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3