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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810036
Report Date: 06/13/2022
Date Signed: 06/13/2022 11:00:26 AM

Document Has Been Signed on 06/13/2022 11:00 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WONDERFUL PRESCHOOL: LOST HILLSFACILITY NUMBER:
153810036
ADMINISTRATOR:WARD, DONNAFACILITY TYPE:
850
ADDRESS:14848 LAMBERSON AVETELEPHONE:
(661) 706-7689
CITY:LOST HILLSSTATE: CAZIP CODE:
93249
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 26DATE:
06/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maira AldacoTIME COMPLETED:
11:15 AM
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On 06/13/2022 Licensing Program Analyst (LPA) Nancy Her, conducted an unannounced Case Management Visit and was met by Teacher Maira Aldaco and Director Donna Ward via phone. The purpose of today’s visit was to record and final print the annual inspection that was conducted on 06/09/2022. While conducting the annual inspection on 06/09/2022, LPA went into consistency check therefore report was unable to be recorded and final printed.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with the facility representative Maira Aldaco and Director Donna Ward via phone.


A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2022
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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