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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 540403661
Report Date: 02/07/2023
Date Signed: 02/07/2023 01:28:14 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/03/2023 and conducted by Evaluator Nancy Her
PUBLIC
COMPLAINT CONTROL NUMBER: 57-CC-20230203140235

FACILITY NAME:FIRST BAPTIST PRESCHOOLFACILITY NUMBER:
540403661
ADMINISTRATOR:STOCKTON, ELISAFACILITY TYPE:
850
ADDRESS:81 N G STTELEPHONE:
(559) 784-6688
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:44CENSUS: 27DATE:
02/07/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Virginia TuckerTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Facility is in disrepair.
Facility has mold.
INVESTIGATION FINDINGS:
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On 02/07/2023 Licensing Program Analysts (LPAs) Nancy Her and Martha De Haro conducted an unannounced complaint investigation to gather information to investigate the above allegations. LPAs met with Director Virgina Tucker who accompanied LPAs during tour of the facility both inside and outside. LPAs explained the allegations and a census taken. LPAs interviewed staff members, conducted a physical inspection of the facility, and reviewed facility records.

Based upon observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited:
Exit interview conducted and report was reviewed with the facility representative Virgina Tucker.
A notice of site visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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Control Number 57-CC-20230203140235
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FIRST BAPTIST PRESCHOOL
FACILITY NUMBER: 540403661
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/28/2023
Section Cited
CCR
101238(a)
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(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 is not met as evidenced by:

Based on observations, the licensee did not comply with the section cited above.
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Director will submit a detailed plan of correction that will address measures to get all the items corrected to Fresno South Community Care Licensing by 02/28/2023
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During today's inspection, LPAs observed the following: mold under the classroom sinks, rusting of all playground equipment, damaged ceiling in the 2 year old classroom, electrical outlets broken and/or not flushed to the walls in the classrooms.
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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.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023
LIC9099 (FAS) - (06/04)
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