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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808725
Report Date: 12/08/2022
Date Signed: 12/08/2022 03:13:21 PM

Document Has Been Signed on 12/08/2022 03:13 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:BUHACH PRESCHOOLFACILITY NUMBER:
243808725
ADMINISTRATOR:GAMA, JUANFACILITY TYPE:
840
ADDRESS:2606 N. BUHACH ROADTELEPHONE:
(209) 489-2008
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 18DATE:
12/08/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Andrea Ceja MartinezTIME COMPLETED:
03:30 PM
NARRATIVE
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On 12/08/2022, Licensing Program Analyst (LPA) Ka Vang conducted an unannounced case management inspection. LPA met with Site Supervisor Andrea Ceja Martinez. Licensee Juan Gama also present during today’s case management inspection. LPA toured the facility inside and outside, and a census was taken. The purpose today's inspection was to follow-up with the information received at the Fresno Community Care Licensing Office on 12/05/2022 regarding facility staff threw water at a day care child’s face.

During the inspection toured of the facility’s outdoor, LPA observed the sand area in the corner of the playground did not have enough adequate sand to provide cushioning underneath. A technical assistance violation was issued advising Site Supervisor to monitor the playground to ensure that there is adequate sand to provide cushioning in the corner of the playground.

LPA also observed a sand “Sensory Table” on the playground area. The sand sensory table has three tiers and each tier have different shape and spaces that have wet sand, dried leaves, and water in the shade of the table. Per Site Supervisor, the sensory table have sands in it, but during the past few days, it was raining so the table collected rain and the dried falling leaves. Per LPA observation, some of the sections of the table have wet sand and dried leaves. The other section of the sensory table has sand, water, and dried leave on it. LPA advised Site Supervisor that the surface of the outdoor activity space and play structure shall be maintained in a safe condition for the activities planned for children in care. A deficiency of Type B had been issued.



Per the California Code of Regulations, Title 22, Division 12, Chapter 1, a deficiency of Type B had been cited during today's inspection. (see next page, 809 D).

Licensee was provided a copy of appeal rights. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with the Sit Supervisor Andrea Ceja Martinez.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 12/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/08/2022
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 12/08/2022 03:13 PM - It Cannot Be Edited


Created By: Ka Vang On 12/08/2022 at 02:40 PM
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: 243808725

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/08/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2022
Section Cited
CCR
101238.2(d)(1)

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101238.2 Outdoor Activity Space. (d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned.
This requirement was not met as evidenced by:
Based on observation, the sand sensory table has three tiers and each tier have different shape and spaces that have wet sand, dried leaves, and water in the shades of the table.
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Per Site Supervisor, the sand sensory table and the playground will be monitoring on a daily basis before the children have access to the playground. Site Supervisor will submit proof of correction how the facility staff maintaining the sensory table clean and safe for the children.
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Per Site Supervisor, the sensory table have sands in it, but during the past few days, it was raining so the table collected water and the dried falling leaves. Per LPA observation, some of the sections of the table have wet sand and dried leaves. The other section of the sensory table has sand, water, and dried leave on it. LPA advised Site Supervisor that the surface of the outdoor activity space and play structure shall be maintained in a safe condition for the activities planned.
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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:Michael Duarte
LICENSING EVALUATOR NAME:Ka Vang
LICENSING EVALUATOR SIGNATURE:
DATE: 12/08/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/08/2022


LIC809 (FAS) - (06/04)
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