Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808902
Report Date: 01/07/2016
Date Signed 01/07/2016 02:33:03 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: 30DATE:
01/07/2016
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Isidro SilvaTIME COMPLETED:
03:00 PM
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A case management visit is conducted this date by Licensing Program Analysts, Norma Lomeli and Kathie Campbell. LPAs met with Program Manager, Isidro Silva to discuss an alleged incident of inappropriate touching that was received at the CCL Office on 1/6/2016 and that occurred on 12/18/2015. LPAs reviewed files and interviewed director. Director stated when questioned that Child #1 gave a name but a child with that name has never attended the center. Child# 1 was not available to interview on 1/7/2016. A copy of the written incident report was provided during today's visit.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies are cited on this date.

An exit interview was conducted with Program Manager, Isidro Silva.

A COPY OF THIS REPORT MUST REMAIN IN THE FACILITY FOR PUBLIC REVIEW.


NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS (LIC 9213).
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)243-8103
LICENSING EVALUATOR NAME: Norma LomeliTELEPHONE: (559)243 -8416
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2016
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2016
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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