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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240402889
Report Date: 02/10/2025
Date Signed: 02/10/2025 01:58:46 PM

Document Has Been Signed on 02/10/2025 01:58 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:OUR LADY OF MIRACLES PRESCHOOLFACILITY NUMBER:
240402889
ADMINISTRATOR/
DIRECTOR:		JOLEEN GOMESFACILITY TYPE:
850
ADDRESS:370 LINDEN AVENUETELEPHONE:
(209) 854-0017
CITY:GUSTINESTATE: CAZIP CODE:
95322
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 16DATE:
02/10/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:JOLEEN GOMESTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
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On 2/10/2025, Licensing Program Analysts (LPAs), Stephanie Vega-Gonzalez and David Rocha conducted an unannounced Annual Required Inspection for the preschool license. Licensee is Our Lady of Miracles Preschool.

LPAs met with Director, Joleen Gomes and toured the facility indoors and outdoors. Monday through Friday 7:00 AM to 4:00 PM.

No poisons were observed during the inspection. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible.

There is no swimming pool or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises.

LPA observed the following during the inspection. In Classroom #7: One out of the two toilets was not functioning properly and is in need of repair. In the pretend area of the classroom LPA observed that a children's classroom coat locker is not anchored to the wall. In the ceiling LPA observed that many of the light bulbs in the classroom were not functioning and were need of replacement. LPA observed that the ceiling had various water marks on the ceiling tiles and are in need of replacement. LPA observed that the ceiling also had missing ceiling tiles, leaving area exposed and in need of repair. LPA observed some ceiling tiles that were loose and could possibly fall that are in need of replacement. LPA observed a storage area room that is accessible to children in care. Storage area contains various arts and crafts materials which includes cutting tools, paints, toys, and cleaning material that was made inaccessible during the inspection. LPA reviewed with staff that best practice would be to get a baby gate to make area inaccessible to children.

(Continue on LIC809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 7
Document Has Been Signed on 02/10/2025 01:58 PM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 02/10/2025 at 01:04 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: OUR LADY OF MIRACLES PRESCHOOL
FACILITY NUMBER: 240402889

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/10/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations stated in LIC809 report dated 2/10/2025, the licensee did not comply with the section cited above in that LPA observed in Classroom #7 toilet, light fixtures, ceiling tiles need repair and a baby gate for storage area. In Classroom #8 the ceiling tiles need repair, a doorknob spinner or latch for boiler, and baby gate for storage area. In playground, cushioning is needed, storge needs lock, and area next to storage inaccessible to children in care. All which is stated in LIC809 report, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2025
Plan of Correction
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Licensee stated that all repairs will be made to Classroom #7, Classroom #8, and Playground. Licensee stated that they will communicate with the Department once all corrections had been made and submit proof of corrections.
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that LPA observed that staff files for Staff#2, Staff #4, and Staff #5 were not complete, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2025
Plan of Correction
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Licensee stated that they will submit proof of corrections to the Department on POC due date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Cynthia Brannon
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/10/2025


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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OUR LADY OF MIRACLES PRESCHOOL
FACILITY NUMBER: 240402889
VISIT DATE: 02/10/2025
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In Classroom #8 LPA observed the following: In the pretend area LPA observed a children’s coat locker that needs to be anchored to the wall. LPA printed Earthquake Preparedness Checklist LIC 9148 and reviewed it with Director. LPA observed that the ceiling had various water marks and that were in need of replacement. LPA also observed various ceiling tiles that were popped off and pose a possible danger to children in care, due to ceiling tiles being above the carpet area. LPA also observed that one of the light fixture next to the restroom had a piece that was dangling and is in need of repair. LPA observed a boiler in a closet that is located inside the restroom that is accessible to children in care. LPA reviewed finding with Director who stated that either a spinning doorknob cover will be placed or a lock. In the playground are LPA observed the following: The mini patio had bare wooden beams/ post that are in need of cushioning and repair. LPA observed a shed that is accessible to children in care due to the lock being a plastic children’s hand shovel. LPA reviewed findings with Director. LPA observed various plastic storage boxes and holiday items inside the shed along with spider webs. LPA observed an accessible pathway way on the side of the shed and the fence that children have access to. LPA observed various sheets of chicken wire with exposed sharp edges. LPA discussed with Director that area will need to be inaccessible to children in care. LPA observed an orange tree that had small thrones. The tree looked to be well kept and trimmed. Director stated that children are always supervised in the yard. LPA observed that the play yard is composed of gravel, during the inspection LPA observed various animal fecal matter. Director stated that staff scoop and clean area prior to children being present. LPA observed that there was not enough cushioning material under the two play structures. LPA observed one of the white benches to be broken in the edge. LPA observed a large red bin with broken toys inside. LPA observed a large trash can with no lid. LPA reviewed all findings with the Director. LPA was informed that children do not drink water from fountains or fixtures in facility. LPA observed a working water fountain located in the playground and discussed findings with director.

Facility has one or more functioning carbon monoxide detectors. Floors in the facility are clean and safe.

Drinking water is provided by personal water bottles and water dispenser located in both Classroom #7 and Classroom #8. This facility does not provide meals to children. Children bring their own food to the program and food is not prepared on site or off site.

(Continue on LIC809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OUR LADY OF MIRACLES PRESCHOOL
FACILITY NUMBER: 240402889
VISIT DATE: 02/10/2025
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Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the child care center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. All children are under supervision, including visual supervision, of a teacher at all times. Facility meets teacher-child ratios. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed files were not complete with health screening, immunization records for influenza, pertussis and measles for Staff #2, Staff #4, and Staff #5. All staff have their updated Mandated reporter on file. Staff are fingerprint cleared.

LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates.

LPA discussed Reporting Requirements as outlined in the regulations (Section 101212).

Director 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP. LPA referred Director to the Department website for lead: www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information. LPA was informed that the center does not use the facility’s water to drink or to prepare food.

(Continue on LIC809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: OUR LADY OF MIRACLES PRESCHOOL
FACILITY NUMBER: 240402889
VISIT DATE: 02/10/2025
NARRATIVE
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/. IMS was discussed with Director, who stated they will be submitting information to the Department.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with Director. Appeal rights were provided.

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

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2025
LIC809 (FAS) - (06/04)
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