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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808357
Report Date: 11/15/2024
Date Signed: 11/21/2024 11:09:51 AM

Document Has Been Signed on 11/21/2024 11:09 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HEIR FORCE ACADEMYFACILITY NUMBER:
153808357
ADMINISTRATOR/
DIRECTOR:		RASH, BILLY J.FACILITY TYPE:
850
ADDRESS:4755 GOSFORD ROADTELEPHONE:
(661) 664-1066
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 20DATE:
11/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Leann LongTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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This is an amended report. On 11/15/2024, Licensing Program Analyst (LPA) Christopher Burnias went to the facility for the purpose of delivering findings of a complaint previously filed against the facility. Director, Shelby Rash was not available at the facility and LPA met with Employee 1 ( E1) who was currently placed in charge of the facility during the absence of the Director.

Upon LPA review of the facility’s Guardian Roster, it was revealed that E1 did not have a current criminal background clearance associated to the facility. LPA spoke with Director via telephone call and explained that E1 did not have a criminal background clearance currently associated to the facility which will result in a citation will be given along with a Civil Penalty. During inspection, E1 left the facility and Assistant Director (AD) arrived to the facility to meet with LPA.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, the following deficiency is being cited: (see next page).

LPA Christopher Burnias informed AD that this report dated 11/15/2024 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Christopher Burnias informed AD to provide a copy of this licensing report dated 11/15/2024 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.



This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
Luisa Gavoutian
Christopher Burnias
DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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 11/21/2024 11:10 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 11/18/2024 04:11 PM


Created By: Christopher Burnias On 11/15/2024 at 01:39 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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: HEIR FORCE ACADEMY
FACILITY NUMBER: 153808357

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
11/16/2024
Section Cited

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(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:(1) Obtain a California clearance or a criminal record exemption as required by the Department .
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This requirement was not met as evidenced by LPA reviewed current Guardian Roster which did not show current background clearance for E1 associated to the facility. This poses an immediate risk to the health, saftety and personal rights to 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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Christopher Burnias
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2024


LIC809 (FAS) - (06/04)
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