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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163808092
Report Date: 09/05/2024
Date Signed: 09/05/2024 12:44:38 PM

Document Has Been Signed on 09/05/2024 12:44 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:MARY IMMACULATE QUEEN PRE-KFACILITY NUMBER:
163808092
ADMINISTRATOR/
DIRECTOR:
ULIBARRI, EVAFACILITY TYPE:
850
ADDRESS:884 N. LEMOORETELEPHONE:
(559) 924-3424
CITY:LEMOORESTATE: CAZIP CODE:
93245
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 21DATE:
09/05/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:30 AM
MET WITH:Eva UibarriTIME VISIT/
INSPECTION COMPLETED:
09:50 AM
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On September 5, 2024, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced licensee-initiated case management inspection. LPA met with Director Eva Uibarri. A census was taken. LPA toured the facility inside and outside. The purpose for the inspection was to inspect and determine if classroom Pre-K (3) connected to licensed room Pre-K (4) meets standards to be used to care for enrolled preschool aged children. The need for the additional classroom is to split the current capacity of 36 children in half in order to provide care for the children in two separate areas rather than one.

If room Pre-K (3) is approved, the new space will provide an additional learning room for the children and so staff can split the group of the current capacity in half for a better learning experience.

STD 850 Fire Safety Inspection report was received and verified from the City of Lemoore Fire Inspector.
Both rooms were measured, and the square footage is 2,304 square feet. The square footage exceeds the requirement for 36 children.

LPA inspected classroom Pre-K (3) and observed age-appropriate equipment, furniture and toys for children who will be supervised from qualified staff. Each room meets or exceeds departments standards and is fully equipped with carbon monoxide detectors, fire alarms and fire extinguishers. There are a sufficient number of toilets and sinks for the children.

The facility director has provided LPA with an updated facility sketch to ensure the accuracy of the areas being used for the license.

Effective immediately classroom Pre-K (3) and Pre-K (4) may be used for the care and supervision of children. Continued on LIC909-C
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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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: MARY IMMACULATE QUEEN PRE-K
FACILITY NUMBER: 163808092
VISIT DATE: 09/05/2024
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Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency cited.

An exit interview conducted with Director Eva Uibarri and a copy of this report was provided and discussed.
A Notice of Site Visit Form (LIC 9213) was issued and must remain posted for 30 days.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
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