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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808747
Report Date: 11/17/2023
Date Signed: 11/17/2023 04:38:58 PM

Document Has Been Signed on 11/17/2023 04:38 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:GARDEN PATHWAYS DOWNTOWN EDUCATION CENTERFACILITY NUMBER:
153808747
ADMINISTRATOR:LAURIE CURBOWFACILITY TYPE:
850
ADDRESS:1130 17TH STREETTELEPHONE:
(661) 633-2302
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93301
CAPACITY: 72TOTAL ENROLLED CHILDREN: 72CENSUS: 45DATE:
11/17/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Candice LujanTIME COMPLETED:
05:00 PM
NARRATIVE
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An unannounced case management visit was conducted today by Licensing Program Analysts (LPAs) Gloria Reyes and Lady Cabrera. The purpose of today's visit was to complete a complaint investigation, but a deficiency issue was noted. During the complaint investigation, per records reviewed it was determined that Staff #1, #2, #3 are fingerprint cleared, but were not associated to the center.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited. Civil penalty was assessed.

Exit interview conducted and report was reviewed with Assistant Director, Candice Lujan. Appeal rights were provided.

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: Lady Cabrera
LICENSING EVALUATOR SIGNATURE: DATE: 11/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/17/2023
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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Document Has Been Signed on 11/17/2023 04:38 PM - It Cannot Be Edited


Created By: Lady Cabrera On 11/17/2023 at 03:05 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: GARDEN PATHWAYS DOWNTOWN EDUCATION CENTER
FACILITY NUMBER: 153808747

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/20/2023
Section Cited
CCR
101170(e)(2)

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101170 Criminal Record Clearance (e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working...(2) Request a transfer of a criminal record clearance...
This requirement is not met as evidenced by:
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Assistant Director will complete Criminal Record Clearance Transfer form LIC9182 for the three staff and submit to Community Care Licensing by 11/20/2023.
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Based on a record review, the licensee did not comply with the section cited above. Staff #1, Staff #2 and Staff #3, who are present today, are fingerprint cleared, but are not associated to the facility, which poses a potential health, safety or personal rights risk to persons 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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Lady Cabrera
LICENSING EVALUATOR SIGNATURE:
DATE: 11/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/17/2023


LIC809 (FAS) - (06/04)
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