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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240407216
Report Date: 12/09/2024
Date Signed: 12/09/2024 10:14:49 AM

Document Has Been Signed on 12/09/2024 10:14 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:FRANKLIN PRESCHOOLFACILITY NUMBER:
240407216
ADMINISTRATOR/
DIRECTOR:		XIONG, NANCYFACILITY TYPE:
850
ADDRESS:2736 N. FRANKLIN ROADTELEPHONE:
(209) 385-6623
CITY:MERCEDSTATE: CAZIP CODE:
95348
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 20DATE:
12/09/2024
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Site Supervisor Nancy XiongTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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On 12/09/2024 Licensing Program Analyst (LPA), Xona Xayavong conducted an unannounced case management – lead testing/exceedance inspection. LPA met with Site Supervisor Nancy Xiong. The purpose of today's inspection is to follow-up on the installation of the new filtration system and lead testing result.

On today’s visit, LPA observed a new filtration system installed in the kitchen in the cafeteria building on 10/24/2024. On 11/21/2024, Director Marie Hicks received lead sampling test report from Forensic Analytical Consulting Services (FACS) that sink faucet 240407216 A and sink faucet 24040716 A30 passed with lead exceedance below 5.5 ppbs. Sink faucet 240407216 A showed 1.3 ppbs and sink faucet 240407216 A30 was non detected. LPA also received LIC 9276, LIC 9275, and LIC 999 from the report. No exceedance was found, which means that no further action is required. The facility is aware that they will need to retest their outlets every 5 years to comply with the Written Directives.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiency is being cited. Site Supervisor Nancy Xiong was provided a copy of appeals rights. An exit interview was conducted with, Site Supervisor Nancy Xiong. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 day

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Xona Xayavong
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2024
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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