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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810107
Report Date: 01/05/2024
Date Signed: 01/05/2024 02:10:05 PM

Document Has Been Signed on 01/05/2024 02:10 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:KIDS' COMMUNITY CAMPUSFACILITY NUMBER:
503810107
ADMINISTRATOR:MENDOZA, EUNICE GFACILITY TYPE:
850
ADDRESS:2490 N WALNUT RDTELEPHONE:
(209) 620-8389
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY: 64TOTAL ENROLLED CHILDREN: 64CENSUS: 12DATE:
01/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:21 AM
MET WITH:MENDOZA, EUNICE GTIME COMPLETED:
12:21 PM
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On 1/5/2024 Licensing Program Analysts (LPAs) Stephanie Vega-Gonzalez and Anita Tristan arrived at the facility to conduct a case management – other. LPAs met with Director Eunice Mendoza who did not accompanied LPAs during tour of facility both inside and outside and a census was taken. LPAs explained the reason for the inspection to Eunice Mendoza.

LPA Vega-Gonzalez conducted the inspection tour for the preschool license. LPA Vega-Gonzalez inspected classroom 1, 2, and 3. LPA Vega-Gonzalez observed the classrooms to hold appropriate toys and furnishing for children in care. LPA Vega-Gonzalez observed 12 children with Staff 1 in classroom 3. LPA Vega-Gonzalez inspected the restrooms and observed that the toilets and faucets were in working order.

LPAs Vega-Gonzalez and Tristan inspected the preschool play yard and observed two large bins, blue and red, with toys inside of them. The red bin had 3 inches of water inside of it and the blue bin had 2 inches of water inside of it. LPAs observed a play kitchen that had 1.9 inches of water collected in the play sink area. LPAs observed that wood chips had not be raked in high impact areas such under the swing set, play fire truck, and the play structure slides. LPAs inspected the preschool side yard that is gated and has a shed. LPAs were informed by Eunice Mendoza that Preschool children had not used the backyard with play structure due to weather conditions and children were currently using the side yard. In the side yard, LPAs observed two folded tables and a plastic roof awning next to the shed with a flimsy plastic baby gate and wood sign that was propped up and not firmly latched in place. LPAs observed that children had access to the materials.

LPAs observed on today’s date preschool children playing in back yard with play structure, swings, fire truck, and were the bins of water and play kitchen were located. Per observation play yard had not been inspected by staff prior to children being present in play area. LPA Tristan informed Eunice Mendoza of the water in bins and play kitchen. LPA Tristan observed as Eunice dumped water out of bins and play kitchen. LPA Tristan observed that wood chips were not raked in the high impact areas.

(Continue on LIC809)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: KIDS' COMMUNITY CAMPUS
FACILITY NUMBER: 503810107
VISIT DATE: 01/05/2024
NARRATIVE
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LPAs conducted a tour of the kitchen area of the facility. LPAs observed the following food labels: In kitchen cabinets, Del Monte Bubble Fruit best if used by August 2023, RITZ crackers best by May 11, 2022, Great Value Quick Oats best if used by October 19, 2023, Quaker Instant Oatmeal best if used before June 11, 2022. In the kitchen fridge LPAs observed the following food labels: First Street Buttermilk Ranch 1 gallon best used by April 26, 2023, Simply Value Barbecue Sauce 1 gallon best used by March 15, 2022, and Better Than Bouillon Roasted Chicken Base with a best if used by December 3, 2023. LPAs observed that kitchen fridge freezer had bags of frozen food with no labels. LPAs observed a freezer located in the staff lounge with various frozen vegetables and meats with no labels. LPAs were notified that facility did not have a “Cook Supervisor/ Server” as per facility’s job description. LPAs were informed that Eunice and Staff 2 had been the ones preparing food for children for over 4 weeks. LPA Vega-Gonzalez was provided a copy of the job description for “Cook Supervisor/ Server” and observed that qualifications consist of staff having a SAFE SERVE certification or Food Handler’s Certificate. LPA Vega-Gonzalez was confirmed by Eunice that neither herself nor Staff 2 had any form of food certification. LPA Vega-Gonzalez reviewed the Plan of Operation Regulation and staffing plan, qualifications and duties with Eunice, Eunice stated she understood. LPA Vega-Gonzalez observed that Eunice had begun the process of labeling food items, and observed that Eunice had removed foods in fridge with best by used dates labeled in the years 2022 and 2023 on today's date.

LPA Vega-Gonzalez reviewed Staff 1’s file and it was observed that Staff 1 was hired in September of 2023 and Staff 1 had been supervising and caring for children alone. LPA Vega-Gonzalez observed that Staff 1 did not meet the qualifications of a Qualified Teacher. LPA discussed the Teacher Qualification regulations with Director, Eunice Mendoza. LPA Vega-Gonzalez reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment.

Record reflects licensee had not paid annual fee's due 11/17/2023. Eunice stated that she will provide the Department with proof of paying fees. Eunice provided LPAs with a copy of the Notice of Community Care Licensing Fees form and a copy of check.



Per California Code of Regulations, Title 22, Division 12, Chapter 1, deficiencies are being cited on the attached LIC 9099-D. Two civil penalties were assessed on today's date.
Exit interview conducted and report was reviewed with the Director Eunice Mendoza.
A copy of this report and Appeal Rights were provided and discussed with Director Mendoza. A Notice of Site Visit was provided.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/05/2024 02:10 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 01/05/2024 at 11:42 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: KIDS' COMMUNITY CAMPUS
FACILITY NUMBER: 503810107

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2024
Section Cited
CCR
101227(a)(1)

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101227 Food Services (a) In child care centers providing meals to children, the following shall apply:(1)All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children... All food shall be selected,
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Eunice Mendoza stated that food items will be stored properly, and provide proof to the Department.
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stored, prepared and served in a safe and healthful manner. This requirement was not met as evidenced by: LPAs observed various food itmes that were not stored in a healthful manner as stated in LIC809 report. This poses a potential risk to the health, safety, or personal rights of children in care.
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Type B
01/05/2024
Section Cited
CCR101238(a)

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101238 Buildings and Grounds(a)The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidence by: LPAs observed rain water collected in bins, woodchips in play area
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Eunice stated that she will reivew with staff to check play yard before children are present. Euncie stated that materials in preschool side yard will be cleared out by POC due date. Eunice stated she would provide proof to LPAs via images of cleared out materials located in side yard.
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were not raked in high impact areas, and accessbile materials in side yard were observed, as stated in the LIC809 report. This poses a potential risk to the health, safety, or personal rights of children 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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/05/2024


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Document Has Been Signed on 01/05/2024 02:10 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 01/05/2024 at 01:34 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: KIDS' COMMUNITY CAMPUS
FACILITY NUMBER: 503810107

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2024
Section Cited
CCR
101173(b)(5)

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101173 Plan of Operation (b)The plan and related materials shall contain the following: (5) Staffing plan, qualifications, and duties, if applicable. This requirement was not met as evidenced by: Director Eunice Mendoza confirmed that the facility did not have a "Cook Supervisor/ Server" as stated in
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Eunice stated that she is in the hiring process of obtaining a cook for facility. Eunice stated that she will obtain the food handlers certification as stated in her job description and provide proof to the department by POC due date.
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the facilities job description. Eunice informed LPAs that neither herself or Staff 2 had the certification as stated in the LIC809 report. This poses a potential risk to the health, safety, or personal rights of children in care.
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Type B
01/19/2024
Section Cited
CCR101216.1(c)(1)

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101216.1Teacher Qualifications and Duties (c)To be a fully qualified teacher...(1) Twelve post-secondary semester... and at least six months of work experience in a licensed child care center or comparable group child care program.
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Eunice stated that she will provide the Department with proof of Staff 2's updated school units and experince by POC due date.
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This requirement was not met as evidenced by: LPA Vega-Gonzalez reviewed Staff 2's file and observed staff is not a qualifed teacher. This poses a potential risk to the health, safety, or personal rights of children 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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 01/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/05/2024


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