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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810106
Report Date: 09/26/2023
Date Signed: 09/26/2023 03:19:35 PM

Document Has Been Signed on 09/26/2023 03:19 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:JACK & JILL'S EARLY CHILD DEVELOPMENT CENTER, INCFACILITY NUMBER:
103810106
ADMINISTRATOR:GRAVES, EARLINE EVETTEFACILITY TYPE:
830
ADDRESS:969 S WILLOW AVETELEPHONE:
(559) 255-8817
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 11DATE:
09/26/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Earline GravesTIME COMPLETED:
03:30 PM
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On 09/26/2023, Licensing Program Analysts (LPAs) Aurelio Mendoza and Julie Baptista conducted an unannounced case management visit to review an incident that occurred on 08/14/2023. LPAs explained purpose of inspection and took a census.

On 08/14/2023, Staff # 3 had a child who also attended the facility in the school age classroom (Room # 3). Staff # 3’s school age child was in Room # 3 (school age side) and was screaming. Staff # 3 heard her school age child and left her class (Room # 2-infant room) to go see her own child across the breezeway in Room # 3. An altercation ensued where the office manager immediately stepped in Room # 2-infant room to seamlessly maintain supervision of four infants next to office manager’s office. Per records reviews and staff interviews it was verified that facility maintained consistent supervision of the four infants in Room # 2. As a result of incident Director Graves terminated Staff # 3 due to the teacher leaving her class to go over to Room # 3-school age children.

No deficiencies observed in the areas addressed during today's visit. The incident is an isolated event and not a result of lack of care and supervision.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency is being cited during today's inspection.

This report is to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2023
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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