Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808902
Report Date: 01/04/2016
Date Signed 01/04/2016 05:21:45 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME:FAMILY FOCUS PARKVIEW PRESCHOOLFACILITY NUMBER:
543808902
ADMINISTRATOR:TANNER-JEWELL, LUCINDAFACILITY TYPE:
850
ADDRESS:5911 S. MOONEY BLVDTELEPHONE:
(559) 627-0700
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:73CENSUS: 27DATE:
01/04/2016
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Program Manager, Isidro SilvaTIME COMPLETED:
05:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On this date Kathie Campbell and Norma Lomeli conducted a Case Management visit. Met with program manager, Isidro Silva and a tour of the facility was made. LPA observed maintenance men repairing the heater in the toddler room and two space heaters sitting on shelves. Fresno Regional Child Care Office was not notified the center was without heat for about a week and a half. There were several staff not on the facility personnel summary. Program manager stated that they were those staff would be transferred from the YMCA Parkview. LPA will review file.

Per California Code of Regulations, Title 22, Division 12, Chapter 1 the following deficiencies are cited, see LIC809D)

Exit interview was conducted. The licensee's representative, Isidro Silva was provided a copy of their appeal rights (LIC9058 12/15) and their signature on this form acknowledges receipt of this form.


NOTICE OF SITE VISIT AND A VIOLATION
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)243-4588
LICENSING EVALUATOR NAME: Kathie CampbellTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2016
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME: FAMILY FOCUS PARKVIEW PRESCHOOL
FACILITY NUMBER: 543808902
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/04/2016
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/11/2016
Section Cited
101212(d)
1
2
3
4
5
6
7
Reporting Requirements. A report shall be made to the Department within 24 hours of the occurrence of any unusual incident as specified. Licensee failed to submit incident report to notify CCL the heating unit was not working.
1
2
3
4
5
6
7
Licensee's representative agrees to send in an incident report with timelines regarding this incident. To be received at the Fresno CCL Office on or before 1/11/16.
Type B
01/08/2016
Section Cited
101238(a)
1
2
3
4
5
6
7
Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times. Center heating unit in the Toddler room has not been working since 11/10/15 or before. Children were wearing coats in the classroom.
1
2
3
4
5
6
7
Licensee's representative stated the unit has been replaced and is now working. Licensee to send in a work order, repair bill and statement that the heater is now working.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
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: Duane MatsubaraTELEPHONE: (559)243-4588
LICENSING EVALUATOR NAME: Kathie CampbellTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2016
LIC809 (FAS) - (06/04)
Page: 2 of 2