<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808972
Report Date: 08/19/2024
Date Signed: 09/17/2024 08:27:01 AM

Document Has Been Signed on 09/17/2024 08:27 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:LITTLE LIGHTS PRESCHOOLFACILITY NUMBER:
503808972
ADMINISTRATOR/
DIRECTOR:		SMITH, SANDRAFACILITY TYPE:
850
ADDRESS:1660 ARBOR WAYTELEPHONE:
(209) 668-2548
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 23DATE:
08/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Sandra SmithTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 08/19/2024 Licensing Program Analyst (LPA) Aurelio Mendoza arrived at the facility to conduct a Case Management-Incident inspection. LPA met with Director Sandra Smith and a census was taken. LPA explained that the reason for the visit was to account for an unusual incident that occurred on 05/14/2024 involving a child that was left unsupervised.

LPA observations, interview statements, and records reviewed to include facility records yielded that the facility did not comply with ensuring that children have 100% supervision while in care. On 05/14/2024 at approximately 10:00 am child, C4 was left unsupervised by staff #1 for approximately one to two minutes within the facility during a transitional period to a next routine activity. Interview statements corroborated that the child was not accounted for during said transition period and was found by Director Sandra Smith in a state where the child was crying. Furthermore, there was no record in the corresponding child's file acknowledging the lack of supervision had occurred for transparency and accountability. Interviews and records reviews corroborated that that the incident occurred and reiterating there was no incident report on file acknowledging staff notified the child's parents of the incident via having a signed copy of an incident report within C4's file.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE: DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/19/2024
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 3
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: LITTLE LIGHTS PRESCHOOL
FACILITY NUMBER: 503808972
VISIT DATE: 08/19/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based upon information received through interviews and records review, it was determined that there was a lack of supervision by staff #1, therefore the preponderance of evidence standard has been met. Therefore, lack of supervision occurred on 05/14/2024.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, a Type A deficiency is being cited on the attached LIC 9099D.

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 Sandra Smith. Per Director Sandra Smith a completed signed copy of the LIC 9224 will be placed in each child's file.

An exit interview conducted with Director Sandra Smith.

A copy of this report and Appeal Rights were provided and discussed with Director Sandra Smith.

A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 09/17/2024 08:27 AM - It Cannot Be Edited


Created By: Aurelio Mendoza On 08/19/2024 at 11:50 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: LITTLE LIGHTS PRESCHOOL
FACILITY NUMBER: 503808972

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/19/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time...
LPA learned that a preschool child was found alone in a school age child’s bathroom and she was crying.
1
2
3
4
5
6
7
A mandatory staff meeting to be held immediately on 08/19/2024 at the facility regarding an unusual incident. During meeting review training with all staff present regarding care and supervision of children in various areas of the facility including the bathrooms. Facility to provide a copy of the training outline and staff attendance sheet to LPA within 24 hours from inspection held on 08/19/2024.
8
9
10
11
12
13
14
The child was in the closed bathroom for about two minutes. Preschool children are to be supervised at all times.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE:
DATE: 08/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/19/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3