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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808281
Report Date: 08/22/2024
Date Signed: 08/22/2024 11:11:50 AM

Document Has Been Signed on 08/22/2024 11:11 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:NOAHS ARK LEARNING CENTER/PRESCHOOLFACILITY NUMBER:
153808281
ADMINISTRATOR/
DIRECTOR:		HERNANDEZ, JENNYFACILITY TYPE:
850
ADDRESS:175 CHESTERTELEPHONE:
(661) 322-0702
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: DATE:
08/22/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Jenny HernandezTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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A case management inspection was conducted today by Licensing Program Analysts (LPAs) Octavia Nolan and Jose Penate. LPAs met with Jenny Hernandez, Director. The purpose of the visit was to discuss the facilities outdated Parent Handbook and Admission Agreement.

LPAs discussed in detail the following components of the Parent Handbook:
Field Trip provisions
Transportation Arrangements
Medication Policies
Admission Policies
Discipline Policies

LPAs discussed in detail the following components of the Admission Agreement:
Description of basic services
Payment provisions
Modification provisions
Refund policy
Reasons for Termination

Licensee will send copy of updated Parent Handbook and Admission Agreement the following to Fresno Regional office by 09/05/2024.

Per California Code of Regulations Title 22, Division 12, deficiency to be cited (See LIC9099-D).

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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 08/22/2024 11:11 AM - It Cannot Be Edited


Created By: Octavia Nolan On 08/22/2024 at 10:21 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: NOAHS ARK LEARNING CENTER/PRESCHOOL
FACILITY NUMBER: 153808281

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/05/2024
Section Cited
CCR
101219(b)(1)

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101219(b)(1) Admission agreements shall specify the following: (1)Basic services.
This requirement was not met by records review as staff did not have a procedure to documenting incident reports and dispersing to children's representatives. This is a potential health and safety risk to children in care.
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Licensee will submit an updated parent handbook/Plan of Operation to CCL by plan of correction due date. (09/05/2024)

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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:Gloria Reyes
LICENSING EVALUATOR NAME:Octavia Nolan
LICENSING EVALUATOR SIGNATURE:
DATE: 08/22/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/22/2024


LIC809 (FAS) - (06/04)
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