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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 165620214
Report Date: 04/03/2024
Date Signed: 04/03/2024 10:51:00 AM

Document Has Been Signed on 04/03/2024 10:51 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:PETTY, LISA FAMILY CHILD CAREFACILITY NUMBER:
165620214
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:		PETTY, LISAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 998-9110
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
04/03/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Lisa PettyTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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 04/03/2024, Licensing Program Analyst (LPA) Adrian Pizano conducted an unannounced Case Management inspection. LPA met with Licensee, Lisa Petty toured the facility, and took a census. The purpose of today’s inspection was to discuss an incident that was reported to Community Care Licensing (CCL) on 03/21/2024.

Director stated that on 03/17/2024, Child 1 informed Mother that her private area was hurting before getting ready for bed. Child 1 stated that Child 2 at the daycare touched her private part. When Child 1 returned to care Licensee asked Child 1 what happened, Child 1 said the incident happened in the restroom but gave another Childs name. Licensee called filed a CPS report as Licensee stated that they are always supervising the children and children only use the restroom one at a time. LPA discussed supervision at the time of the incident, and it was determined that appropriate supervision was in place. Staff will continue to supervise children. LPA inspected the bathroom where the incident was said to have taken place and did not observe any safety hazards or areas of concern.

This appears to be an isolated incident and staff took appropriate measures, following appropriate policies, regulations, and reporting requirements.

No deficiencies cited during today’s inspection.

A copy of this report to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Adrian Pizano
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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 1