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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153804768
Report Date: 08/04/2022
Date Signed: 08/04/2022 03:29:41 PM

Document Has Been Signed on 08/04/2022 03:29 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:CHILDREN'S PLAYHOUSEFACILITY NUMBER:
153804768
ADMINISTRATOR:RODRIGUEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 396-1720
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 15DATE:
08/04/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Maria RodriguezTIME COMPLETED:
03:40 PM
NARRATIVE
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On 08/04/22, A case management inspection was conducted today by Licensing Program Analyst (LPA) Jose Penate. LPA arrived at home and was greeted by Assistant. A census was taken. Assistant stated that licensee was inside the main residence and she excused herself to go into the main residence and advised licensee to return to the daycare room (garage conversion). Assistant returned to daycare room and stated that the licensee was not home and she was at the pharmacy. The reason of today's inspection is to ensure the requirement is met for the above ground pool that was installed. Upon arrival LPA confirmed that 15 children were present at the facility and it was confirmed by assistant as well. While inspection was being conducted by LPA, licensee arrived at residence with spouse and Adult #2.

During visit LPA verified that the barricade that encloses the pool did not meet standards. LPA advised licensee the additional requirements that are needed to be completed for approval. LPA will make a future visit to confirm enclosure of pool to be met for the safety of children in care. LPA advised licensee that outdoor play should not be allowed until the pool is barricaded for their safety.

Currently the fingerprint process is still outstanding for Adult #1, LPA advised that she needs to get fingerprints completed before POC date from previous inspection.

Exit interview conducted with the Licensee, Maria Rodriguez.

Per California Code of Regulations Title 22, Division 12, deficiency cited during today's visit (See LIC809-D).

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/04/2022
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 08/04/2022 03:29 PM - It Cannot Be Edited


Created By: Jose Penate On 08/04/2022 at 03:15 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: CHILDREN'S PLAYHOUSE
FACILITY NUMBER: 153804768

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/04/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/04/2022
Section Cited
CCR
102416.5(a)

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The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time. Based on LPA observation on today’s inspection LPA Penate observed 15 children in care.
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Licensee stated she understands the ratio and capacity of her license and will stay within the capacity of her license.
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This poses an immediate risk to the health and safety of the children in care.
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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:Duane Matsubara
LICENSING EVALUATOR NAME:Jose Penate
LICENSING EVALUATOR SIGNATURE:
DATE: 08/04/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/04/2022


LIC809 (FAS) - (06/04)
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