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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540403661
Report Date: 03/30/2023
Date Signed: 03/30/2023 01:09:17 PM

Document Has Been Signed on 03/30/2023 01:09 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
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: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 30DATE:
03/30/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Virginia TuckerTIME COMPLETED:
01:30 PM
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On 03/30/2023, Licensing Program Analysts (LPAs) Nancy Her and Martha De Haro conducted an unannounced case management inspection at the facility. LPAs met with Director Virginia Tucker, to discuss an incident which occurred on 03/22/2023. A complete file review was conducted prior to visit. LPAs toured the facility. LPAs took a census and interviewed Director Ms. Tucker.

On 03/22/2023 daycare child began to have a medical emergency. Staff members immediately attended to the child and contacted parents and 911. The child was taken to the hospital by paramedics. The child was treated, released and returned to the day care without restrictions on 03/23/2023.

Based on the information obtained, this appears to be an isolated incident and Director took appropriate measures to address the child's emergency, following proper policies and procedures and no regulations were violated. Licensee reported incident to Fresno Community Care Licensing on 03/22/2023.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.
Exit interview conducted and report was reviewed with the facility representative Virginia Tucker.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE: DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/30/2023
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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