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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 223808585
Report Date: 04/03/2025
Date Signed: 04/03/2025 10:46:16 AM

Document Has Been Signed on 04/03/2025 10:46 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CATHEYS VALLEY PRESCHOOLFACILITY NUMBER:
223808585
ADMINISTRATOR/
DIRECTOR:		ANITA HOLTFACILITY TYPE:
850
ADDRESS:4952 SCHOOL HOUSE ROADTELEPHONE:
(209) 742-4024
CITY:CATHEYS VALLEYSTATE: CAZIP CODE:
95306
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 10DATE:
04/03/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:ANITA HOLTTIME VISIT/
INSPECTION COMPLETED:
10:50 AM
NARRATIVE
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On 4/3/2025Licensing Program Analyst (LPA), Stephanie Vega-Gonzalez conducted an unannounced case management inspection. LPA had attempted to conduct two prior inspections on 03/07/2025 and 03/12/2025. LPA met with Director, Anita Holt. The Purpose of today's inspection was to conduct a Case Management Inspection regarding the out door play structure that was constructed on January 25, 2025. LPA was informed by Anita that children have not had access to the play structure.

On today's inspection LPA Vega-Gonzalez inspected play structure, Adventure Tower, and observed the structure to be sturdy. Play structure is located in the back of the facility's building, that passes through an elementary grass area. LPA was informed that all children are supervised during the transition from indoor to outdoor play. Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. The outdoor play area is fenced. Safe toys and play equipment are observed.

LPA observed that the slide on the play structure was not anchored to the tower of the playset. LPA was informed by Anita Holt that she had not anchored it, due to wanting the Department to inspect it prior to installing it. Director stated that the facility will have the slide anchored by 4/7/2025. Anita Holt stated she will submit images to the Department and a short video showing that slide is placed correctly as per the assembly instructions before children have access to play structure.

Exit interview conducted and report was reviewed with Director, Anital Holt. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, a deficiency was cited. Please see LIC809-D.

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

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Stephanie Vega-Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2025
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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Document Has Been Signed on 04/03/2025 10:46 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 04/03/2025 at 10:12 AM
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: CATHEYS VALLEY PRESCHOOL
FACILITY NUMBER: 223808585

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/11/2025
Section Cited
CCR
101239

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(i) There shall be one toilet and one handwashing fixture, separate from and in addition to the number of toilets and handwashing fixtures required in (h) above, designated for use by ...for use by staff, .... This requirement is not met as evidenced by:
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Director, Anita Holt stated that staff will not use children's restroom. LPA Vega-Gonzalez printed the prelicensing inspection LIC809 dated 11/13/2009 that stated, " Ill children and staff will utilize the restroom located in the school office". Anita stated that staff will use the school office's restroom, and review
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Based on observation, LPA observed two (2) staff members using the restroom while one (1) child waited to use it. This poses a potential risk to the health, safety and personal rights to children in care.
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with their Executive Director in possibly getting a waiver into the Department.
Anita Holt stated she will review regulation and write a statement on what they have learned and submiit the statement to the Department by 4/11/2025.

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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.
Cynthia Brannon
NAME OF LICENSING PROGRAM MANAGER:
Stephanie Vega-Gonzalez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/03/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2025


LIC809 (FAS) - (06/04)
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