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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808634
Report Date: 07/01/2024
Date Signed: 07/01/2024 02:24:28 PM

Document Has Been Signed on 07/01/2024 02:24 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:SEQUOIA PRESCHOOL ACADEMYFACILITY NUMBER:
503808634
ADMINISTRATOR/
DIRECTOR:		GUTHMILLER, JANETFACILITY TYPE:
850
ADDRESS:1308 COFFEE ROADTELEPHONE:
(209) 526-2273
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 13DATE:
07/01/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Janet GuthmillerTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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On 07/01/2024, Licensing Program Analyst (LPA) Valerie Mireles conducted an unannounced Case Management Inspection- Deficiencies for the preschool license. LPA met with Director, Janet Guthmiller and a census was taken. There were 13 preschool children present being supervised by three staff. LPA toured the facility, inside and outside.

During today’s inspection, LPA observed Staff#1 working in the kitchen at the facility and identified themself. According to the Guardian Roster, Staff #1 is Not Eligible and the determination for exemption has been closed. Director Guthmiller stated that Staff #1 has been coming to the facility Monday thru Friday for approximately 1.5 hours for about a month and receives a paycheck. Director Guthmiller asked Staff#1 to leave while LPA was present. This poses an immediate risk to the health, safety and personal rights to children in care.

Exit interview conducted with the Director, Janet Guthmiller. Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is cited on the attached LIC 809D. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

Upon receipt of a Type A violation, licensee 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 Acknowledgement of Receipt of Licensing Reports was given to Director Janet Guthmiller.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2024
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 07/01/2024 02:24 PM - It Cannot Be Edited


Created By: Valerie Mireles On 07/01/2024 at 11:52 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: SEQUOIA PRESCHOOL ACADEMY
FACILITY NUMBER: 503808634

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/01/2024
Section Cited
CCR
102370(d)(1)

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CCR102370(d)(1) Prior to employment or initial presence in the CCC, all employees and volunteers subject to a criminal record review shall obtain a California clearance or a criminal record exemption as required by law or Department regulations. This requirement was not met by:
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Director Guthmiller asked Staff #1 to leave while LPA was present. Director Guthmiller understands that staff cannot be on the premises without Criminal Record Clearance/ or exemption eligibility.
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Based on record review and interview, Director allowed Staff#1 to work in the kitchen of the facility. Staff #1 is not eligible for a Criminal Record Clearance exemption and determination closed. This poses an immediate risk to the health, safety, and/or personal rights of children in care. A civil penalty was assessed.
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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:Cynthia Brannon
LICENSING EVALUATOR NAME:Valerie Mireles
LICENSING EVALUATOR SIGNATURE:
DATE: 07/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/01/2024


LIC809 (FAS) - (06/04)
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