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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543810131
Report Date: 07/27/2023
Date Signed: 07/27/2023 11:51:16 AM

Document Has Been Signed on 07/27/2023 11:51 AM - 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:BOINGOS ACADEMYFACILITY NUMBER:
543810131
ADMINISTRATOR:LOIS LOPEZFACILITY TYPE:
830
ADDRESS:7137 W PERSHING CTTELEPHONE:
(559) 623-9206
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 10TOTAL ENROLLED CHILDREN: 10CENSUS: 6DATE:
07/27/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Alyssa CeballosTIME COMPLETED:
12:00 PM
NARRATIVE
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On July 27, 2023 Licensing Program Analyst (LPA) Kari McWilliams conducted an unannounced case management visit as a follow up to the annual inspection conducted on July 20, 2023 when LPAs Adrian Pizano and Kari McWilliams observed 3 infants asleep in swings that were in the crib area. A tour of the facility was conducted and a census was taken.

LPA McWilliams informed Director Alyssa Ceballos for the reason of the visit. LPA McWilliams explained to Director Ceballos that a citation should have been issued during that inspection for safe sleep as infants need to be moved from the swing to a crib as soon as they fall asleep. During today's inspection LPA observed that the swings were back in the crib area for storage while they were not being used; LPA McWilliams explained to Director Ceballos that swings are not to be in the sleeping area as they were moved out of the area during the last inspection.

Per Title 22 Division 12 Chapter 1 of the California Code of Regulations the following Deficiency is being cited, please see 809-d.

Exit interview conducted and report was reviewed with the facility representative Alyssa Ceballos.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2023
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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Document Has Been Signed on 07/27/2023 11:51 AM - It Cannot Be Edited


Created By: Kari McWilliams On 07/27/2023 at 11:11 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: BOINGOS ACADEMY
FACILITY NUMBER: 543810131

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/27/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/21/2023
Section Cited
CCR
101430(a)(3)(E)

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(3) All infants shall be given the opportunity to sleep without distraction or disturbance from other activities at the center whenever the infant desires. (E)If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.
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Facility representative stated that they will be conducting a safe sleep training to the infant staff and any staff that assists in the infant classroom and will send an outline of the training,and a signed understanding of the training by each staff attended to the LPA by the above POC date.
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The facility did not meet this requirement evidenced by LPAs observed 3 infants sleeping in swings when they walked into the classroom, which poses a potential health, safety or personal rights risk to persons 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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Kari McWilliams
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2023


LIC809 (FAS) - (06/04)
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