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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808726
Report Date: 10/21/2025
Date Signed: 10/21/2025 02:29:51 PM

Document Has Been Signed on 10/21/2025 02:29 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:BUHACH PRESCHOOLFACILITY NUMBER:
243808726
ADMINISTRATOR/
DIRECTOR:		GAMA, JUANFACILITY TYPE:
830
ADDRESS:2606 N. BUHACH ROADTELEPHONE:
(209) 489-2008
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY: 17TOTAL ENROLLED CHILDREN: 17CENSUS: 8DATE:
10/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Andrea Ceja and Stephanie Segovia,
Site Supervisors		TIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 10/21/2025, Licensing Program Analyst (LPA) Ka Vang conducted an unannounced case management inspection. LPA toured the facility, and a census was taken. LPA met with Andrea Ceja and Stephanie Segovia, Site Supervisors. Today’s inspection was to discuss an unusual incident that occurred on 10/21/2025, in which Child #1 (C1) sustained an injury on her left eyebrow area. This incident was reported to the Fresno Community Care Licensing Office on 10/21/2025 by Site Supervisor Andrea Ceja.

Per interviews, on 10/20/2025, there were two staff members (Staff #1 (S1) and Staff #2 (S2) supervised 4 infants in the Infant Classroom. As S2 was changing another infant's diaper, S1 was next to the wall cabinet filling out documentation while both staff members have direct vision of the infants. S1 observed that C1 was walking toward the infant cubbies and started to pulled her personal items from the cubbies, S1 informed C1 that C1 can not take her personal clothes out. S1 observed C1 was little bit upset but C1 did not take her personal items out from her cubby. As C1 turned around from the cubbies, C1 lost balance and fell forward and hit C1's left eyebrow on the wooded wall cabinet next to the cubbies. S1 immediately picked up C1 and assisted C1. S1 observed that there was a small cut and bruise on C1’s left eye brown, S1 contact site supervisor while applying first aid on C1’s wounded area.

Site Supervisor went to the Infant Classroom and observed that infant was crying, Site Supervisor observed that there was no heaving bleeding or large open wound, Site Supervisor took C1 to her office and immediately contacted C1’s authorized representative (AR) and informed C1’s AR of the incident.

(Continued on LIC809-C).

NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams
NAME OF LICENSING PROGRAM ANALYST: Ka Vang
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2025
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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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: BUHACH PRESCHOOL
FACILITY NUMBER: 243808726
VISIT DATE: 10/21/2025
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LPA reviewed pertinent documentation at the facility. LPA verified teacher-child ratios were being followed during time of incident. Based on the information obtained, this appears to be an isolated incident, and staff members took appropriate measures to address the child's injury, following proper policies and procedures and no regulations were violated.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiency is being cited during today’s inspection.

Exit interview conducted and report was reviewed with Site Supervisor, Stephanie Segovia. Stephanie was provided with appeal rights. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

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

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
LIC809 (FAS) - (06/04)
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