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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203810213
Report Date: 02/21/2025
Date Signed: 02/21/2025 02:11:57 PM

Document Has Been Signed on 02/21/2025 02:11 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:ALPHA STATE PRESCHOOLFACILITY NUMBER:
203810213
ADMINISTRATOR/
DIRECTOR:
THOMAS CHAGOYAFACILITY TYPE:
850
ADDRESS:900 STADIUM RDTELEPHONE:
(559) 675-4490
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 11DATE:
02/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Nancy GalindoTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 02/21/2025, Licensing Program Analyst (LPA) Pa Kou Vue conducted an unannounced Case Management Inspection. LPA met with Head Teacher Nancy Galindo. LPA toured the facility indoors and outdoors and took a census. The purpose of the inspection was to gather more information regarding an incident reported to Childcare Licensing on 02/06/2025 regarding child 02 and personal rights.

During today’s inspection, LPA interviewed staff members regarding the incident. Based on LPA interviews, LPA concluded that incident regarding child 02 was an isolated incident; therefore, no children’s personal rights were violated. Present was Head Teacher Nancy Galindo and staff 02 who had witnessed the incident and reported to their superiors.

Facility followed reporting requirements as specified in Title 22 Regulation 101212 - Reporting Requirements.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiency is being cited: A copy of appeal rights was provided. An exit interview was conducted.

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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Pa Kou Vue
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2025
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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