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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808780
Report Date: 09/30/2025
Date Signed: 09/30/2025 03:10:22 PM

Document Has Been Signed on 09/30/2025 03:10 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CALIFORNIA IVY LEAGUE PREP ACADEMY, PS & ICFACILITY NUMBER:
153808780
ADMINISTRATOR/
DIRECTOR:		MILLER, AMYFACILITY TYPE:
850
ADDRESS:2301 ASHE ROADTELEPHONE:
(661) 832-8300
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 178TOTAL ENROLLED CHILDREN: 178CENSUS: 37DATE:
09/30/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Virjen Valeriano TIME VISIT/
INSPECTION COMPLETED:
03:15 PM
NARRATIVE
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On 09/30/25 Licensing Program Manager (LPM) Scott Herring and Licensing Program Analyst (LPA) Denisia Jimenez arrived at the facility to conduct an unannounced Case Management Inspection. LPA met with Assistant Director, Virjen Valeriano and a census was taken.

The purpose of today's inspection was in reference to a self-reported unusual incident that was reported to the Fresno Childcare Regional Office on 09/25/2025. On September 25, 2025, Child #1 was observed holding an object that initially appeared to be a toy during outdoor play. Upon closer inspection, Staff #1 realized it was a dead bat. Child #1 was immediately instructed to drop the bat and was taken inside to thoroughly wash their hands.

Staff #2 contacted the front desk, and the Assistant Director came outside to assist. The dead bat was placed in a plastic bag and brought to the front desk. The Assistant Director promptly notified Child #1’s parent and contacted both the Health Department and Animal Control to arrange for the bat to be collected and tested for rabies.

As a precaution, Child #1 was taken to the hospital for a rabies vaccination. A notice was posted on the classroom door informing families of the potential rabies exposure. The outdoor play area was carefully inspected for any additional hazards.

On 09/26/25, the Office Manager followed up with the Health Department and was informed that the bat was too decomposed to be tested for rabies. As a result, Child #1 did not require further rabies shots and has since returned to the center in good health.

(Continued on 809-C)

NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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Document Has Been Signed on 09/30/2025 03:10 PM - It Cannot Be Edited


Created By: Denisia Jimenez On 09/30/2025 at 01:38 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: CALIFORNIA IVY LEAGUE PREP ACADEMY, PS & IC
FACILITY NUMBER: 153808780

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
09/30/2025
Section Cited
CCR
101238.2(f)

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101238.2 Outdoor Activity Space(f) Sandboxes shall be inspected daily and kept free of hazardous foreign materials.
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The licensee agrees to begin performing daily inspections of the outdoor play areas and to document each inspection in a written log. These daily checks will be conducted from 10/01/25 through 10/15/25. A copy of the completed log will be submitted to Community Care Licensing by the Plan of Correction due date, 10/16/25.
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This requirement was not met as evidenced by staff not conducting daily checks of the sanbox and outdoor activity areas where children play which resulted in child #1 picking up a dead decomposed bat on 09/25/25. This poses a potential health and safety risk in that outdoor areas shall be inspected daily.
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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.
Scott Herring
NAME OF LICENSING PROGRAM MANAGER:
Denisia Jimenez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/30/2025


LIC809 (FAS) - (06/04)
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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: CALIFORNIA IVY LEAGUE PREP ACADEMY, PS & IC
FACILITY NUMBER: 153808780
VISIT DATE: 09/30/2025
NARRATIVE
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Staff interviews revealed that daily pre-checks of the outdoor activity areas, where children play, are not being conducted. Staff assigned to supervise these areas reported that they do not have time to perform the checks due to their focus on supervising the children. During the interviews, it was noted that a bat was found in a sandbox. According to Regulation Section 101238.2(f), sandboxes must be inspected daily and kept free of hazardous foreign materials.

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

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted with Assistant Director Virjen Valeriano and a copy of the report and Appeal Rights were given and discussed.

NAME OF LICENSING PROGRAM MANAGER: Scott Herring
NAME OF LICENSING PROGRAM ANALYST: Denisia Jimenez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025
LIC809 (FAS) - (06/04)
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