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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243801263
Report Date: 03/11/2022
Date Signed: 03/11/2022 05:06:56 PM

Document Has Been Signed on 03/11/2022 05:06 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HILMAR CHRISTIAN CHILDREN'S CENTERFACILITY NUMBER:
243801263
ADMINISTRATOR:OLIVEIRA, LESLIEFACILITY TYPE:
840
ADDRESS:20037 W. AMERICAN AVENUETELEPHONE:
(209) 632-2273
CITY:HILMARSTATE: CAZIP CODE:
95324
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: 26DATE:
03/11/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:REYNOSO, FABIOLATIME COMPLETED:
05:30 PM
NARRATIVE
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On 3/11/2022, Licensing Program Analysts (LPA), Roman Iglesias, conducted a Case Management inspection due to an observation made on this day (3/11), while conducting a review of staff files.

LPA met with Master Teacher, Fabiola Reynoso, and explained the purpose of the inspection. While conducting a review of staff files, LPA noticed Director, Leslie Oliveira's, Mandated Reporter Training expired on 2/25/2022. Additionally, staff informed LPA that a bookshelf fell on top of a child but the incident was not reported to Community Care Licensing (CCL).

Per California Code of Regulations, Title 22, Division 12, Chapter 1, the deficiency is being cited on the attached LIC 809-D.

An exit interview was conducted with Master Teacher, Fabiola Reynoso. A copy of this report and Appeal Rights were provided and discussed with Mrs. Reynoso.



A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Roman Iglesias
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2022
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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Document Has Been Signed on 03/11/2022 05:06 PM - It Cannot Be Edited


Created By: Roman Iglesias On 03/11/2022 at 04:15 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: HILMAR CHRISTIAN CHILDREN'S CENTER
FACILITY NUMBER: 243801263

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/25/2022
Section Cited
HSC
1596.8662(b)(1)

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Mandated Reporter Training. On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training...and shall complete renewal mandated reporter training every two years
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Master Teacher stated Director will complete a certified Child Abuse Mandated Reporter course, and will submit proof of completion to CCL by POC due date of 3/25/2022.
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following … the initial mandated reporter training. This requirement was not met as evidenced by records review. A staff file had an expired Child Abuse Mandated Reporter Training. This poses a potential risk to the health, safety and personal rights to children in care.
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Type B
03/25/2022
Section Cited
CCR101212(d)(1)(E)

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Reporting Requirements: Upon the occurrence, during the operation of the child care center... a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours.
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Licensee/ staff will watch the CCLD Reporting Requirements video available on the CCLD website and write a statement of what the requirements are and submit that statement along with an Unusual Incident Report to
the Fresno CCL office by the due date of 3/25/2022.
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This requirement is not met as evidenced by interviews and records review conducted during today’s complaint investigation. facility failed to notify Fresno Regional Office of the bookshelf falling on a child.
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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:Alice Juarez
LICENSING EVALUATOR NAME:Roman Iglesias
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2022


LIC809 (FAS) - (06/04)
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