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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500309399
Report Date: 08/23/2023
Date Signed: 08/23/2023 03:33:39 PM

Document Has Been Signed on 08/23/2023 03:33 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:CCCDS WALTER THOMPSON CHILD DEVELOPMENT CENTERFACILITY NUMBER:
500309399
ADMINISTRATOR:PARDEEP KAURFACILITY TYPE:
850
ADDRESS:2003 GLENDA WAYTELEPHONE:
(209) 537-9032
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY: 97TOTAL ENROLLED CHILDREN: 97CENSUS: 12DATE:
08/23/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:34 AM
MET WITH:Pardeep KaurTIME COMPLETED:
03:45 PM
NARRATIVE
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On 8/23/2023, Licensing Program Analysts (LPAs) Pa Kou Vue and Ka Vang conducted an unannounced case management inspection at facility. LPAs met with Center Supervisor, Pardeep Kaur who accompanied LPAs during a tour of facility both inside and outside. LPAs explained the purpose for the inspection. An incident was reported to Child Care Licensing Regional Office on 08/17/2023 by Pardeep Kaur regarding children’s personal rights violation.

Based on staff interviews, it was confirmed a child’s personal rights were violated. Staff was placed on administrative leave effective 08/17/2023.

Center will conduct on-going staff trainings discussing code of conduct and personal rights of children.

Per the California Code of Regulations, Title 22, Division 12, Chapter 1, the following deficiencies are being cited during today’s inspection. (See next page, LIC809-D).

Upon receipt of a Type A violation, licensees shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet-Child Care Parent Notification Requirements and a copy of LIC 9224 was given to Center Supervisor.

Center Supervisor was provided a copy of appeal rights. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Center Supervisor.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Pa Kou Vue
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2023
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 2
Document Has Been Signed on 08/23/2023 03:33 PM - It Cannot Be Edited


Created By: Pa Kou Vue On 08/23/2023 at 02:59 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: CCCDS WALTER THOMPSON CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 500309399

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/23/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/25/2023
Section Cited
CCR
101223(a)(3)

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(a) The licensee shall ensure that each child is accorded the following personal right: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting;
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Staff meeting will be conducted on 08/31/2023 covering code of conduct and mandated reporting. In addition, staff training will be conducted on a monthly basis covering as needed topics. A sign-in sheet will be provided at the beginning of trainings. Center Staffs will print their name, date of attendance and Center Staffs signature. Please email me a copy of the sign-in sheet after 08/31/2023.
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or withholding of shelter, clothing, medication or aids to physical functioning.
This requirement is not met as evidenced by:
Based on staff interviews, it was confirmed a child’s personal rights were violated. Staff was placed on administrative leave effective 08/17/2023.
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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:Pa Kou Vue
LICENSING EVALUATOR SIGNATURE:
DATE: 08/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/23/2023


LIC809 (FAS) - (06/04)
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