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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808261
Report Date: 11/03/2025
Date Signed: 11/04/2025 12:24:01 PM

Document Has Been Signed on 11/04/2025 12:24 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:CASTLE HEAD STARTFACILITY NUMBER:
243808261
ADMINISTRATOR/
DIRECTOR:		SUSAN CAMARGOFACILITY TYPE:
850
ADDRESS:2050 ACADEMYTELEPHONE:
(209) 381-5176
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 16DATE:
11/03/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Susan Camargo, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On 11/03/2025, Licensing Program Analyst (LPA) Ka Vang conducted an unannounced Case Management-Incident and was met by Susan Camago, Site Supervisor. A complete file review was conducted prior to today’s inspection. LPA toured the facility, and a census was taken.

On 10/23/2025, an unusual incident was reported to the Community Care Licensing Office (CCL)-Fresno regarding an unusual incident occurred on 10/23/2025, at 09:20 a.m. inside classroom #3. The purpose of this Case Management-Incident inspection was to follow-up and investigate this incident, where Child #1 (C1)’s personal rights were being violated.

According to the report received, on 10/23/2025 at 09:20 a.m., Atwater Elementary Special Education Personnel staff member (S1) was observed to be working with C1 but step away to assist another group of children. Meanwhile, Staff #3 went to the classroom utility closet to retrieve a broom and dust pan to clean the classroom floor. As S1came back from assisting the children, S1 observed C1 who S1 was working with was present in the classroom. Staff #2 (S2) meanwhile supervising four children in the blocks corner, and Staff #3 was cleaning the floor. As S1 announced the missing of C1 inside the classroom, Staff #4 (S4) walked into the classroom to assist in the classroom so that S3 could take S3’s break. All staff members observed to be actively searching for C1’s whereabouts. Per interviews, within three to five minutes, staff members could not locate C1 inside the classroom.

As staff members were searching for C1, S3 then went to the utility closet to return the broom and dust pan, S3 discovered that C1 was standing inside the utility closet with a toy in hand. Per interview, it was confirmed that C1 entered the utility closet when S3 opened the utility closet to retrieve the broom and dust pan.

(Continued on LIC809-C).

NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams
NAME OF LICENSING PROGRAM ANALYST: Ka Vang
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2025
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 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CASTLE HEAD START
FACILITY NUMBER: 243808261
VISIT DATE: 11/03/2025
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Interviews and observation concluded that C1 could have not open the utility closet by C1 self as the door has a child’s safety door knob cover. The interviews confirmed that C1 walked into the closet as S3 was retrieving the broom and dust pan but S3 did not observed C1 walked behind entering the utlity closet.

It was confirmed that C1 has not left the premises and C1 did not have access to any chemical, poisons, detergents, cleaning compounds, medication, or other hazardous items as the classroom utility closet was utilized as a storage area for the children’s unused small toys and blocks, children’s personal items, classroom materials, such as books, construction papers, arts and crafts items.

During this unannounced inspection, LPA conducted interviews and observation and it was determined that C1 had accessed to the off-limits utility closet due to the lack of supervision. Based on this inspection, it was determined that C1’s personal rights were being violated due to lack of supervision.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there is deficiency being cited during today’s inspection. (See page LIC809-D for additional information).

Site Supervisor was provided with a copy of appeal rights on 11/04/2025. A notice of site visit (LIC 9213) was given on 11/04/2025 and must remain posted for 30 days. This report shall be made available to the public upon request. Exit interview conducted and report was reviewed with Site Supervisor.

NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams
NAME OF LICENSING PROGRAM ANALYST: Ka Vang
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/04/2025 12:24 PM - It Cannot Be Edited


Created By: Ka Vang On 11/04/2025 at 09:28 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: CASTLE HEAD START
FACILITY NUMBER: 243808261

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/03/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/04/2025
Section Cited
CCR
101229(a)(1)

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(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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During this inspection, Site Supervisor provided documentation proof that an immediate training pertaining to active supervision was completed with all staff members on 10/28/2025, followed by an all staff meeting on 10/31/2025 discussing key success to “Communication and Teamwork” as teamwork needed in the classroom.
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This requirement is not met as evidenced by:
Based on record review and interviews conducted, it was confirmed that due to the lack of supervision, Child #1 (C1) had access to the off-limits. This poses a potential risk to the health, safety, or personal rights of children in care.
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Site Supervisor stated that she will also continue to monitor all staff members and enforce these training materials in the classroom.

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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.
Kari McWilliams
NAME OF LICENSING PROGRAM MANAGER:
Ka Vang
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/04/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/04/2025


LIC809 (FAS) - (06/04)
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