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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500316992
Report Date: 02/21/2025
Date Signed: 03/04/2025 09:46:16 AM

Document Has Been Signed on 03/04/2025 09:46 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:WILLIAM GARRISON ELEMENTARYFACILITY NUMBER:
500316992
ADMINISTRATOR/
DIRECTOR:		NUNES, HEIDIFACILITY TYPE:
850
ADDRESS:1811 TERESA STREETTELEPHONE:
(209) 574-8132
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 13DATE:
02/21/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Sarah CromwellTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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 On March 4, 2025, Licensing Program Analyst (LPA), Yesenia Fierro conducted an unannounced Case Management Inspection. LPA met with Family Support Coordinator Sarah Cromwell.

The purpose for today’s visit was to amend a Case Management report document that was created and final printed on 02/21/2025 in error. There was no case management inspection completed at this facility on 02/21/2025, the case management inspection was for a different facility.

LPA informed Family Support Coordinator Sarah Cromwell that an appeal would be necessary to remove the deficiency from facility number 500316992.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulation, no deficiency is being cited.

Family Support Coordinator Sarah Cromwell was provided a copy of their appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days.

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 03/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/04/2025
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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Document Has Been Signed on 02/21/2025 01:28 PM - It Cannot Be Edited


Created By: Yesenia Fierro On 02/21/2025 at 01:19 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: WILLIAM GARRISON ELEMENTARY
FACILITY NUMBER: 500316992

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2025
Section Cited
CCR
101212(a)(c)

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(a) Each licensee or applicant shall furnish to the Department reports as required by the Department including, but not limited to, the following:(c)The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room additions.

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Administrator agrees to submit a request for a temporary outdoor space waiver, along with an outdoor activity schedule showing the times each component will use the outdoor space. By POC due date 2/28/2025
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This requirement was not met as evidenced by: Based on Assistant Director self-admission the facility failed to report structural changes and the use of an unlicensed outdoor space. This poses a potential health, safety, or personal rights risk to persons 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:Kari McWilliams
LICENSING EVALUATOR NAME:Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2025


LIC809 (FAS) - (06/04)
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