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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808615
Report Date: 10/06/2023
Date Signed: 10/06/2023 11:40:05 AM

Document Has Been Signed on 10/06/2023 11:40 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808615
ADMINISTRATOR:LORENA PALOMOFACILITY TYPE:
850
ADDRESS:17213 CENTRAL VALLEY HWYTELEPHONE:
(661) 746-0671
CITY:SHAFTERSTATE: CAZIP CODE:
93263
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 0DATE:
10/06/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Adriana Barron and Angela Rico TIME COMPLETED:
11:45 AM
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On 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Program Director Adriana Barron, Area Manager Angela Rico, Licensing Program Analyst (LPA) Ruby Ocegueda and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss violations of Title 22 Regulations. The following issues/violations were discussed:

Type A Deficiency:
· 9/12/2023 – The facility was cited a Type A violation and assessed a 500.00 immediate civil penalty under regulation CCR 101229 (a)(1) to address an absence of supervision that occurred on 8/13/2023. An investigation revealed that on 8/13/2023, the facility released a child to an unauthorized representative. The child was taken outside and returned immediately by the unauthorized representative after realizing he/she had picked up the unintended child. This action caused an absence of supervision by facility staff of the child.

Type B Deficiency:
· 9/12/2023 –The facility was cited a Type B deficiency under regulation 101212 (d)(1)(c) to address the facility not reporting an absence of supervision to the Department as required.

On 9/12/2023, LPA Ocegueda addressed both deficiencies and regulations with Center Director Lorraine Palomo who agreed to submit plans of corrections for the deficiencies.

Today, LPM Susie Fanning and Adriana Barron discussed the training that the staff have received since this incident occurred and reviewed the procedures that staff are taking to ensure they are following all appropriate sign in and out processes and ensuring supervision of children. Report continued on 809-C
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 10/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/04/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: TIERRA SERENA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808615
VISIT DATE: 10/06/2023
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Program Director Barron also confirmed that the facility staff understand reporting requirements and agreed to call the Department to seek consultation should there be any questions regarding possible Unusual Incidents. Increased visits/inspections will be conducted at the facility to help ensure compliance with Title 22 regulations.

Program Director Barron was informed that childcare training videos are available on the Community Care Licensing Division's website at www.ccld.ca.gov.

Program Director Barron was reminded that facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Director Barron.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
LIC809 (FAS) - (06/04)
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