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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801824
Report Date: 03/11/2022
Date Signed: 03/11/2022 02:19:43 PM

Document Has Been Signed on 03/11/2022 02:19 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:VISALIA ADULT SCHOOL CHILDREN'S CENTERFACILITY NUMBER:
543801824
ADMINISTRATOR:GLADYS NAZARIOFACILITY TYPE:
850
ADDRESS:3110 EAST HOUSTONTELEPHONE:
(559) 735-8142
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: 13DATE:
03/11/2022
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Margaret McLainTIME COMPLETED:
02:40 PM
NARRATIVE
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On 3/11/2022, Licensing Program Analyst (LPA) Ocegueda conducted a case management inspection for the purposes of discussing capacity decrease and reporting requirements. LPA met with Early Childhood Education Lead Margaret McLain. LPA toured the facility and took a census.

Today, LPA discussed the case management inspection conducted on 10/11/2021. At that time LPA Ocegueda provided technical assistance in order to assist the facility in submitting required documents to lower the capacity. Preschool Administrator Amy Sullivan confirmed that the facility was using the previously licensed classroom (#60) for an adult program and not for preschool children as it was originally licensed for and confirmed that they had not reported the change to the Department. At that time, LPA Ocegueda provided facility staff a list of documents to submit to the Department to decrease the capacity and discussed reporting requirements as reducing the square footage the facility has access to, potentially decreases the capacity.

Today, LPA once more discussed capacity decrease, reporting requirements and provided blank copies of the following forms to submit to the Licensing Office: Application for Child Care Center License (LIC 200A), Emergency Disaster Plan for Child Care Centers (LIC 610), Local Fire Inspection Authority Information Form (LIC 9054). LPA Ocegueda also reminded ECE Lead McLain that a cover letter and facility sketch should be included with her submission to the Department.

Per the California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiency was cited: see 809-D. Appeal Rights were provided.

Notice of Site Visit 9213 should be posted for 30 days.

SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2022
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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Document Has Been Signed on 03/11/2022 02:19 PM - It Cannot Be Edited


Created By: Ruby Ocegueda On 03/11/2022 at 01:56 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: VISALIA ADULT SCHOOL CHILDREN'S CENTER
FACILITY NUMBER: 543801824

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/08/2022
Section Cited
CCR
101212(c)

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(c)The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. Such structural changes shall include, but not be limited to, room additions. This requirement was not me as evidenced by: observation and interview.
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Facility authorized representative will submit a written plan of action discussing the adult program and complete a capacity decrase application if the adult program will stay in room #60 long term. The statement will also include how the facility will ensure reporting requirements are adhered to at all times. The written plan of action will be submitted to the Department by POC date 4/8/2022.
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Licensee is using a previously approved classroom (#60) for use of an adult program, not for licensed care as was licensed originally. This change was not reported to the Department beforehand. This poses a potential risk to the health, safety and 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:Michael Duarte
LICENSING EVALUATOR NAME:Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2022


LIC809 (FAS) - (06/04)
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