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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801609
Report Date: 04/02/2024
Date Signed: 04/02/2024 01:11:06 PM

Document Has Been Signed on 04/02/2024 01:11 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:LITTLE RED SCHOOL HOUSE #3FACILITY NUMBER:
153801609
ADMINISTRATOR:LYTVYNENKO, AMBERFACILITY TYPE:
850
ADDRESS:4601 FRUITVALE AVE.TELEPHONE:
(661) 588-2227
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: 77DATE:
04/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Amber LytvynenkoTIME COMPLETED:
01:15 PM
NARRATIVE
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On April 2, 2024 Licensing Program Analysts (LPAs) Kari McWilliams and Jose Penate conducted an unannounced case management visit and met with Director Amber Lytvynenko. LPAs toured the facility and a census was taken. LPAs informed Director Lytvynenko the purpose of todays inspection.

On February 21, 2024 a complaint allegation was sent to the Department and during the complaint investigation process LPA McWilliams conducted parental interviews. During the parental interviews it was reported that an incident occurred during 08.15.2022-09.01.2022 and was not reported as required to the Department. On April 2, 2024 LPAs interviewed staff and Director Lytvynenko that confirmed the incident occurred and was not reported.

Exit interview conducted and report was reviewed with Director Amber Lytvynenko. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page).


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: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/02/2024
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 04/02/2024 01:11 PM - It Cannot Be Edited


Created By: Kari McWilliams On 04/02/2024 at 12:17 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: LITTLE RED SCHOOL HOUSE #3
FACILITY NUMBER: 153801609

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/02/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/02/2024
Section Cited
CCR
101212(d)(1)(C)

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(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below...next working day and during its normal business hours. In addition, a written report containing... (d)(2) below shall be submitted to the Department within seven days...
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Director stated that the facility will conduct a training on reporting requirements and the Director will provide a copy of the training outline and staff signatures via fax to the LPA by the above POC date.
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(1)Events reported shall include the following:(C)Any unusual incident or child absence that threatens the physical or emotional health or safety of any child. This requirment was not met by evidence of staff interviews confirming the occurence of the incident and Director confirming it was not reported.
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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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Kari McWilliams
LICENSING EVALUATOR SIGNATURE:
DATE: 04/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/02/2024


LIC809 (FAS) - (06/04)
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