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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163808356
Report Date: 12/05/2024
Date Signed: 12/05/2024 12:50:06 PM

Document Has Been Signed on 12/05/2024 12:50 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:HIS KIDS PRESCHOOLFACILITY NUMBER:
163808356
ADMINISTRATOR/
DIRECTOR:		PANNETT, BAILEYFACILITY TYPE:
850
ADDRESS:750 E. GRANGEVILLE BLVD.TELEPHONE:
(559) 584-8558
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 31DATE:
12/05/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Bailey PannettTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 12/05/2024 Licensing Program Analyst (LPA) Octavia Nolan conducted an unannounced case management inspection at the facility. LPA met with Director Bailey Pannett and informed her of the purpose of the inspection. LPA toured the facility, and a census was taken.

LPA Nolan went over the Decision and Order issued by the Department for Adult #1 (A1). Director stated Adult #1 has not been at the facility since Summer and has not had any contact with daycare children. LPA has verified Adult #1 is not present, employed, or residing at the facility. LPA provided a copy of the Decision and Order to Director. Verification of exclusion is complete.

Director Bailey Pannett was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Exit interview conducted and report was reviewed with Director Bailey Pannett.

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

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
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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