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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808628
Report Date: 12/19/2024
Date Signed: 12/20/2024 08:40:49 AM

Document Has Been Signed on 12/20/2024 08:40 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:SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808628
ADMINISTRATOR/
DIRECTOR:
SMITH, LAURAFACILITY TYPE:
850
ADDRESS:6401 FAY RANCH ROADTELEPHONE:
(760) 378-2570
CITY:WELDONSTATE: CAZIP CODE:
93283
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 16DATE:
12/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:15 AM
MET WITH:Olivia HigginsTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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On December 19, 2024, Licensing Program Analyst (LPA) Paul Garcia, conducted an unannounced Random Annual Inspection for the preschool license. LPA met with Director, Olivia Higgins, and toured the facility indoors and outdoors. Days and hours of operation are Monday – Friday from 7:30 AM – 3:30 PM.

Assembly Bill 2370, Chapter 676, Statutes of 2018 requires all Child Care Centers (CCCs) that are located in buildings constructed before January 1, 2010 to test their drinking water for lead contamination by January 1, 2023 and every 5 years thereafter. This facility is unable to provide evidence of completed water testing.



There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises. During the inspection LPA observed a black bucket left unattended in the classroom sink that contained approximately one gallon of water with cleaning solution and towels that was accessible to children in care by means of a step ladder directly in front of the sink. No poisons were observed during the inspection. Furniture and equipment are in good condition, free of sharp, loose or pointed parts. While inspecting the outdoor play yard, LPA observed a plastic play structure that had sharp plastic parts.

During the inspection LPA observed the children’s dipper changing area ceiling to have visible water stains on the sheet rock. LPA also observed absent ceiling tiles in the entire room. LPA also observed chipped paint on windows to the building connected to the play yard. LPA also observed a mini pergola in the children outdoor play yard with two (2) broken wood slats with exposed sharp nails accessible to children. LPA also observed the children’s restroom to have missing bolt caps exposing sharp rusty bolts at the bottom of the toilet along with bubbling paint near the wall.

Floors in the facility are clean and safe. LPA inspected the on site cafeteria and observed the kitchen, food preparation and storage areas to be clean, free of litter/rubbish and free of rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/19/2024
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 12/20/2024 08:40 AM - It Cannot Be Edited


Created By: Paul Garcia On 12/19/2024 at 12:53 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 153808628

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101229(a)(1)
Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation on three (3) occasions LPA observed a child enter the centers office area and restroom without supervision of a teacher which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director will conduct training with her staff on the principals of supervision and submit signatures of all attendees. Director will also submit a two page hand written document explaining what child care center staff’s responsibilities are and how they are going to prevent similar situations from reoccurring by January 10, 2025.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Gloria Reyes
LICENSING EVALUATOR NAME:Paul Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


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Created By: Paul Garcia On 12/19/2024 at 12:53 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 153808628

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, this facility is unable to provide evidence of completed water testing which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director agrees to have the facility outlets tested (or proof of request) per Assembly Bill 2370, Chapter 676, Statutes of 2018 that requires all Child Care Centers (CCCs) that are located in buildings constructed before January 1, 2010 to test their drinking water for lead contamination by January 1, 2023 and every 5 years thereafter by January 10, 2025.
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above when the inspection revealed the children’s dipper changing area ceiling to have visible water stains on the sheetrock, absent ceiling tiles in the entire room, chipped paint near on windows to the building connected to the play yard, a mini pergola in the children outdoor play yard with two (2) broken wood slats with exposed sharp nails accessible to children, children’s restroom was missing bolt caps exposing sharp rusty bolts at the bottom of the toilet along with bubbling paint near the wall which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director agrees to have the areas worked on to be compliant with basic licensing standards by January 10, 2025
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:Gloria Reyes
LICENSING EVALUATOR NAME:Paul Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


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Created By: Paul Garcia On 12/19/2024 at 12:53 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 153808628

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)(2)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. (2) The licensee shall safely dispose of water and any disinfectants/solutions that have been used for cleaning.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation the licensee did not comply with the section cited above when the inspection revealed a black bucket left unattended in the classroom sink that contained approximately one gallon of water with cleaning solution and towels that was assessable to children in care by means of a step ladder directly in front of the sink which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director agrees to conduct a training with her staff and provide signatures of attendees along with a one page hand written document of the importance of keeping water with cleaning solutions inaccessible to children in care by January 10, 2025.
Type B
Section Cited
CCR
101239(f)
Fixtures, Furniture, Equipment and Supplies
(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observationthe licensee did not comply with the section cited above when the inspection revealed two approximant thirty gallon trash cans in the dinning area where children eat that contained a variety of discarded food items that had no tight fitting lid creating an environment/breading place for incest and/or rodents which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director agrees to have tight fitting lids on the trash cans and will submit photo documentation of the trash cans to the department by January 10, 2025.
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:Gloria Reyes
LICENSING EVALUATOR NAME:Paul Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/20/2024 08:40 AM - It Cannot Be Edited


Created By: Paul Garcia On 12/19/2024 at 12:53 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 153808628

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(o)(1)
Fixtures, Furniture, Equipment and Supplies
(o) Playground equipment shall be securely anchored to the ground unless it is portable by design. (1) Equipment shall be maintained in a safe condition, free of sharp, loose or pointed parts.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above when the inspection revealed a plastic play structure that has sharp plastic parts which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director agrees to have the play structure removed or the broken part only removed as the rest of the structure is in serviceable condition.
Type B
Section Cited
CCR
101215.1(f)
Child Care Center Director Qualifications and Duties
(f) When the child care center director is absent from the center, arrangements shall be made for a fully qualified teacher as specified in Section 101216.1(c) to act as substitute. This substitute child care center director shall be aware of center operations, including total enrollment; shall be trained in program operation; and shall be designated as an authorized person to correct operational deficiencies that constitute immediate threats to children's health and safety.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview and record review, the licensee did not comply with the section cited above when documentation of the designation of administrative authority and staff assignments were absent which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director will complete/post LIC 308 and submit documentation to case carrying analyst by January 10, 2025.
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:Gloria Reyes
LICENSING EVALUATOR NAME:Paul Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/20/2024 08:40 AM - It Cannot Be Edited


Created By: Paul Garcia On 12/19/2024 at 12:53 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 153808628

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101215.1(m)
Child Care Center Director Qualifications and Duties
(m) A child care center director shall complete 16 hours of health and safety training if necessary pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above when the Director failed to provide completion of 16 hours of health and safety training pursuant to Health and Safety Code Section 1596.866 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director will provide case carrying LPA with documentation of 16 hours of health and safety training completed by January 10, 2025.
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, no staff on site have a A current CPR certification as requiered which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director agrees to have her staff enroll in a CPR class that meets departmental standards by January 10, 2025.
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:Gloria Reyes
LICENSING EVALUATOR NAME:Paul Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/20/2024 08:40 AM - It Cannot Be Edited


Created By: Paul Garcia On 12/19/2024 at 12:53 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 153808628

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216.1(g)
Teacher Qualifications and Duties
(g) A photocopy of the teacher's Child Development Permit as specified in (c)(3) above, or a photocopy of the teacher's transcript(s) documenting successful completion of required course work, shall be maintained at the center.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above when the directors file did contained an expiered teacher's Child Development Permit and transcripts that were absent which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director agrees to have her file up to date with all required documentation including a currant teacher's Child Development Permit and transcripts and will send a photo to case carrying LPA by January 10, 2025.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Gloria Reyes
LICENSING EVALUATOR NAME:Paul Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/20/2024 08:40 AM - It Cannot Be Edited


Created By: Paul Garcia On 12/19/2024 at 12:58 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER

FACILITY NUMBER: 153808628

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 12/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101212(a)(b)


This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above when the licencee failed to submit the name of the child care center director, and any fully qualified teacher(s) designated to act in the child care center director's absence, shall be reported to the Department within 10 days of a change of child care center director or designee(s) which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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licensee shall complete then submit required documentation to case caring analyst by due date of January 10, 2025.
Type B
Section Cited
CCR
101215.1(h)(1)(A)


This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above when LPA reviewed transcripts for the director, the required administration or staff relations units were absent which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/10/2025
Plan of Correction
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Director will provide proof to the department of successful completion or enrollment in the required administration or staff relations units by due date of January 10, 2025.
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:Gloria Reyes
LICENSING EVALUATOR NAME:Paul Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/19/2024


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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: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808628
VISIT DATE: 12/19/2024
NARRATIVE
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During the inspection LPA observed two approximate thirty gallon trash cans in the dinning area where children eat that contained a variety of discarded food items that had no tight fitting lid creating an environment breading place for incest and/or rodents.

Drinking water is available both indoors and outdoors. Areas around high climbing equipment, and slides have cushioning material to absorb falls. LPA observed no signs of insects or rodents. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Capacity and limitations as specified on the license are being maintained. All staff had expired CPR and Pediatric First Aid certification. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has not been reported to the Department. The person who signs the child in/out of the facility shall use their full legal signature and record the time of day. On three (3) occasions LPA observed a child enter the centers office and children’s restroom without supervision of a teacher. Documentation of the designation of administrative authority was also absent.

Facility maintains a ratio of one teacher supervising no more than 12 children in care. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed files to be incomplete however did contain health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Menus are posted at least one week in advance where an authorized representative can view them.

Incidental Medical Services are not currently being provided.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
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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: SOUTH FORK PRESCHOOL & CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808628
VISIT DATE: 12/19/2024
NARRATIVE
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LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page, 809 D)

LPA Paul Garcia informed licensee Olivia Higgins that this report dated December 19, 2024, documents one (1) Type A citation. 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 (Paul Garcia) informed the Olivia Higgins to provide a copy of this licensing report dated December 19, 2024,that documents any Type A citation(s) 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.

An exit interview was conducted, and this report was reviewed with the facility representative Olivia Higgins.

Notice of site visit was issued and must remain posted for 30 days.

Appeal Rights were discussed and issued.

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC809 (FAS) - (06/04)
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