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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243810259
Report Date: 02/20/2025
Date Signed: 02/20/2025 02:51:51 PM

Document Has Been Signed on 02/20/2025 02:51 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:BUHACH PRESCHOOL YOSEMITE CROSSINGFACILITY NUMBER:
243810259
ADMINISTRATOR/
DIRECTOR:		JENNIFER MAYSFACILITY TYPE:
860
ADDRESS:3670 G STTELEPHONE:
(209) 489-2008
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY: 121TOTAL ENROLLED CHILDREN: 130CENSUS: 78DATE:
02/20/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Jennifer MaysTIME VISIT/
INSPECTION COMPLETED:
03:05 PM
NARRATIVE
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On 2/20/2025, Licensing Program Analysts (LPAs) Miguel Herrera and Pa Kou Vue conducted an unannounced case management inspection at the facility. LPA met with Director, Jennifer Mays who accompanied LPAs during a tour of the facility both inside and outside. LPA explained the purpose for the inspection and a census was taken. During the case management visit, facility observations were completed, facility records were reviewed, and interviews were conducted.

Based on interviews and records review, LPA Herrera confirmed, that while playing in the classroom child #1 sustained an injury that required medical treatment. The child tripped and fell while playing with a sensory toy in the classroom and bumped his eyebrow on the floor. The incident occurred at approximately 4:23pm on 10/03/2024. Staff immediately treated the wound and called the child’s parent, however the facility failed to self-report the incident to the Fresno Regional Office either by telephone or fax within 24 hours of the occurrence.

Furthermore, based on interviews and records review, LPA Herrera confirmed that the facility failed to report an unusual incident that occurred on 12/26/2024, in where child #2 experienced a seizure while in care. Per interviews the seizure that child #2 sustained required medical attention. Although the facility reported the incident with child #2's parents the facility failed to report the incident to the Fresno Regional Office either by telephone or fax within 24 hours of the occurrence.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency is being cited on the attached LIC 809D. An exit interview conducted with Jeniffer Mays. A copy of this report and Appeal Rights were provided and discussed with Director Jennifer Mays. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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Document Has Been Signed on 02/20/2025 02:51 PM - It Cannot Be Edited


Created By: Miguel Herrera On 02/20/2025 at 02:14 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: BUHACH PRESCHOOL YOSEMITE CROSSING
FACILITY NUMBER: 243810259

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/06/2025
Section Cited
CCR
101212(d)(1)(C)

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101212(d)(1)(C) Reporting Requirements(d)Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, 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. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event......
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Director Mays stated that she will review Reporting Requirements (CCR, section 101212) with staff to ensure understanding of what is required to be reported to CCL and when. Licensee stated that the desginated staff will review video on
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This requirement was not met as evidenced by: Based on that the facility did not report incidents to CCL as stated in LIC809 within 24 hours of the occurance. This poses a potential risk to the health, safety, or personal rights of children in care.
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the ccld.childcarevideos.org website titled, Child Care Reporting Requirements. Director Mays will provide an attendance list of all staff that attended the training by 03/06/2025.

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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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Miguel Herrera
LICENSING EVALUATOR SIGNATURE:
DATE: 02/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/20/2025


LIC809 (FAS) - (06/04)
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