<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810030
Report Date: 03/08/2024
Date Signed: 03/08/2024 01:35:11 PM


Document Has Been Signed on 03/08/2024 01:35 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:BROADWAY CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153810030
ADMINISTRATOR:MARY ANN MOONEYFACILITY TYPE:
850
ADDRESS:929 BROADWAY AVETELEPHONE:
(661) 336-5236
CITY:WASCOSTATE: CAZIP CODE:
93280
CAPACITY:44CENSUS: 30DATE:
03/08/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Rosa RabagoTIME COMPLETED:
02:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/08/2024, case management visit is conducted by Licensing Program Analyst (LPA) Lady Cabrera and met with Site Supervisor Rosa Rabago. LPA met with Rosa at the facility’s office. Director Mary Ann Mooney, Program Administrator Letisha Brooks and Director of Head Start Yolanda Gonzales were present via Microsoft Teams Meeting.

On 01/25/2024, staff notified Site Supervisor of a teacher mishandling a child on 01/23/2024. On 01/30/2024, LPA arrived at the facility to investigate a complaint, it was confirmed the facility did not report the incident to Fresno Community Care Licensing (CCL) by telephone or fax within the CCL’s next working day and during its normal business hours. LPA provided Reporting Requirements regulation to Site Supervisor and the Director.

On 01/30/2024, Director Maryann Mooney reported the incident to CCL by telephone. On 01/31/2024, an Unusual Incident Report was submitted to the CCL.

During a complaint investigation, LPA discovered another similar incident occurred on 11/23/2023 where the same teacher mishandled a child in the outdoor play area. Per records reviewed and interviews, CCL did not receive a phone call and/or an Unusual Incident Report. Facility did not comply with the reporting requirements regulation.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited. Site Supervisor Rosa Rabago was provided a copy of their appeal rights.

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.

SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 978-8397
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 03/08/2024 01:35 PM - It Cannot Be Edited

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: BROADWAY CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 153810030

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 03/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/15/2024
Section Cited
CCR
101212(d)

1
2
3
4
5
6
7
101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department ... shall be submitted to the Department within seven days following the occurrence of such event.
This requirement was not met as evidenced by:
1
2
3
4
5
6
7
LPA reviewed Reporting Requirements with Licensee and provided a copy. Licensee stated they will review 101212 Reporting Requirements regulation and train all staff. Licensee will submit to the Fresno South Licensing Office a training outline and a sign in sheet by 03/15/2024.
8
9
10
11
12
13
14
Based on interviews and records reviewed, Licensee did not comply with the cited regulation, which poses a potential risk to the health, safety, or personal rights to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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 GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Lady CabreraTELEPHONE: (559) 978-8397
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2