540406866-1-23-2026-57-CC-XXAG-DQLTT4-20260123140006

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 540406866
Report Date: 01/23/2026
Date Signed: 01/23/2026 02:00:15 PM

Document Has Been Signed on 01/23/2026 02:00 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	LINCOLN PRESCHOOL		FACILITY NUMBER:	540406866
ADMINISTRATOR/ DIRECTOR:	AGUILA, CARMEN		FACILITY TYPE:	850
ADDRESS:	909 E. CEDAR		TELEPHONE:	(559) 685-6500
CITY:	TULARE	STATE: CA	ZIP CODE:	93274
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 85	CENSUS: 32	DATE:	01/23/2026
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Director Carmen Aguila		TIME VISIT/ INSPECTION COMPLETED:	02:00 PM

NARRATIVE

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On January 23, 2026, Licensing Program Analyst (LPA) Xona Xayavong conducted an unannounced case management–incident inspection. LPA met with Director Carmen Aguila, and a census was taken. LPA toured both the inside and outside of the facility. The purpose of today’s inspection was to follow up on an unusual incident report received by the Fresno South Regional Office on 12/5/2025.

On 12/5/2025, at approximately between 11:00 a.m. and 11:15 a.m., during outdoor activities on the playground, Child #1 (C1) approached Staff #1 (S1). S1 observed bark on C1’s left side, chest, and beanie. S1 also noticed C1 touching his arm and inspected him for any injuries. S1 disclosed that C1 did not display or report any pain or discomfort at that time. C1 was later picked up by an authorized representative, and staff informed the representative of the incident that occurred on the playground. Later at home, C1 displayed discomfort. C1’s mother took him to urgent care, and he was subsequently referred to Valley Children’s Hospital, where it was discovered that C1 had a broken elbow requiring a cast. Staff #4 (S4) spoke with C1’s mother on 12/5/2025 regarding the incident and again on 12/9/2025 to discuss restrictions at school to ensure C1’s safety, as the child now had a cast. C1 returned back to the facility on 1/12/2026 with an excuse from physical activities until 1/20/2026.

During today’s inspection, LPA conducted a review of staff and child records, staff interviews, observation and obtained facility documentation. After gathering information, LPA determined that staff took appropriate action and that the playground contained no hazardous items accessible to children in care.

An exit interview was conducted, and the report was reviewed with Director Carmen Aguila. Appeal rights were provided. Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiencies are cited. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and is required to be posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Xona Xayavong
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/23/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2026

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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