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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163808397
Report Date: 11/04/2025
Date Signed: 11/04/2025 10:14:53 AM

Document Has Been Signed on 11/04/2025 10:14 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:LEMOORE GENERATION CENTERFACILITY NUMBER:
163808397
ADMINISTRATOR/
DIRECTOR:		ENRIQUEZ, CARLAFACILITY TYPE:
850
ADDRESS:1075 BLAKE STREETTELEPHONE:
(559) 925-1502
CITY:LEMOORESTATE: CAZIP CODE:
93245
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 0DATE:
11/04/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
07:15 AM
MET WITH:Gloria VelezTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
NARRATIVE
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On November 4, 2025, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced Case Management – Incident inspection at the facility. Upon arrival, LPA initially met with Site Supervisor Gloria Velez and toured the facility indoor and outdoor areas. A census of children in care was taken. The purpose of this inspection was to follow up on an unusual incident reported to the Community Care Licensing Office on October 23, 2025.

The reported incident occurred on October 21, 2025, at approximately 10:33 AM during morning outdoor free play. At that time, Child 1 (C1) was observed with a limp body and closed eyes. Teacher Mai immediately responded by holding the child and notifying an administrator. Emergency services were contacted, and C1’s mother was informed. C1 was transported by ambulance to a local hospital for medical evaluation.

According to facility administrators, C1 was assessed at Kaweah Health Emergency Department at 11:32 AM. The child was diagnosed with syncope, a temporary loss of consciousness caused by insufficient blood flow to the brain. C1 was discharged without restrictions and referred to a pediatric neurologist for further evaluation. C1 returned to care on October 27, 2025.

During the inspection, LPA Garcia reviewed video footage of the incident (without audio). The footage showed C1 actively engaged in free play with no visible signs of distress prior to the event. At approximately 10:33 AM, Teacher Mai was seen attending to C1. Another teacher promptly returned to the main building, and additional staff arrived to assist. Teachers were observed calmly escorting the remaining children off the play yard. Teacher Mai briefly assisted in gathering a census before children returned to their respective classrooms. At 10:43 AM, paramedics arrived and assessed C1. By approximately 10:58 AM, paramedics exited the play yard with C1 on a stretcher. Continued on LIC812-C
NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Paul Garcia
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/04/2025
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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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: LEMOORE GENERATION CENTER
FACILITY NUMBER: 163808397
VISIT DATE: 11/04/2025
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Throughout the incident, staff maintained appropriate teacher-to-child ratios. The response was timely, coordinated, and demonstrated effective emergency procedures.

Per the medical discharge instructions and administrative follow-up, C1 is scheduled to see a neurologist in November for a more comprehensive evaluation. In the interim, facility staff will provide enhanced supervision for C1, particularly during rest periods, to ensure prompt response should a similar incident occur.

This morning C1 was observed in her classroom in a group activity with her peers. C1 was observed to be in good spirits and active with no signs of distress.

Based on the information obtained and a review of the video footage, LPA determined the ALL staff involved handled the incident appropriately and determined that reporting requirements were met. Licensee took appropriate measures to address the incident, following both internal policy and Title 22 Regulations.

Per California Code of Regulations, Title 22, Division 12, no deficiency was cited during today's inspection.
A notice of site visit was given and must remain posted for 30 days.
An Exit interview was conducted and report was reviewed with Assistant Site Supervisor.
NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Paul Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
LIC809 (FAS) - (06/04)
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