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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808724
Report Date: 01/31/2024
Date Signed: 01/31/2024 10:17:26 AM

Document Has Been Signed on 01/31/2024 10:17 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:BUHACH PRESCHOOLFACILITY NUMBER:
243808724
ADMINISTRATOR:GAMA, JUANFACILITY TYPE:
850
ADDRESS:2606 N. BUHACH ROADTELEPHONE:
(209) 489-2008
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY: 89TOTAL ENROLLED CHILDREN: 89CENSUS: 31DATE:
01/31/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:31 AM
MET WITH:Juan Gama-LicenseeTIME COMPLETED:
10:30 AM
NARRATIVE
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On 01/31/2024, Licensing Program Analyst (LPA) Ka Vang conducted an unannounced Case Management - Other inspection and met with Licensee Juan Gama. Also, present was Site Supervisor Andrea Ceja Martinez. The purpose of inspection was to follow up on a previous complaint investigation which was conducted on 12/12/2023. LPA toured the facility, and a census was taken in each classroom.

During the investigation inspection tour of the facility, LPA observed Staff #1 (S1) was in the Pre-Kindergarten Classroom and providing care and supervision for 12 children. LPA reviewed facility record and S1 did not have background clearance or exemption associated to this facility; however, LPA verified through the Department that S1 is currently fingerprint cleared through an exemption associated with another facility. This facility did not have S1’s record of fingerprint cleared associated with their facility. S1 disclosed that S1 had been employed with this facility since 01/02/2024.



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

Licensee was provided a copy of appeal rights. A notice of site visit (LIC 9213) was given 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 Licensee and Site Supervisor.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 01/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/31/2024
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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Document Has Been Signed on 01/31/2024 10:17 AM - It Cannot Be Edited


Created By: Ka Vang On 01/31/2024 at 09:26 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: BUHACH PRESCHOOL
FACILITY NUMBER: 243808724

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/31/2024
Section Cited
CCR
101170(e)(1)

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(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department
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During today's inspection, Staff #1 (S1) left the facility immediately. S1 is not to return to work until S1 has been fingerprint cleared and or exemption and associated to the facility.
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This requirement is not met as evidenced by:

Based on observation, interview, and record review, the licensee did not comply with the section cited above. During today's Case Management inspection, Licensing Program Analyst (LPA) observe Staff #1 (S1) was providing care and supervision to 12 children in the classroom. Per record reviewed and staff interviewed, S1 has been providing and care supervision to children without fingerprint clearance or exemption associated to this facility since of 01/02/2024, which poses a potential health, safety and or personal rights risk to children in care.
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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.
SUPERVISOR'S NAME:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Ka Vang
LICENSING EVALUATOR SIGNATURE:
DATE: 01/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/31/2024


LIC809 (FAS) - (06/04)
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