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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 243810259
Report Date: 03/14/2025
Date Signed: 03/14/2025 01:28:02 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/24/2025 and conducted by Evaluator Miguel Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20250224122259
FACILITY NAME:BUHACH PRESCHOOL YOSEMITE CROSSINGFACILITY NUMBER:
243810259
ADMINISTRATOR:JENNIFER MAYSFACILITY TYPE:
860
ADDRESS:3670 G STTELEPHONE:
(209) 489-2008
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:121CENSUS: 72DATE:
03/14/2025
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Jennifer MaysTIME COMPLETED:
01:40 PM
ALLEGATION(S):
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Licensee did not develop a plan of action in case of a disaster.
INVESTIGATION FINDINGS:
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On March 14, 2025, Licensing Program Analysts (LPAs) Miguel Herrera and Pa Kou Vue conducted an unannounced inspection to conclude the complaint investigation that was submitted on 02/24/2025. LPAs met with Director, Jennifer Mays and Owner, Juan Gama, and explained the purpose of the inspection and delivered investigation findings. A tour of the facility was conducted, and a census was taken. During the course of the investigation, LPA Herrera obtained & reviewed records, conducted interviews, and made facility observations. The investigation revealed that although the facility had an Emergency Disaster Plan (LIC 610) on file the facility failed to post the Emergency Disaster Plan in a prominent area were staff would be able to access it in case of an emergency. Furthermore, the Emergency Disaster Plan was not properly maintained and communicated to staff.
During the course of the investigation LPAs did not observe an Emergency Disaster Plan nor an Emergency Evacuation Map posted in the facility that was accessible to staff.

Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
Control Number 04-CC-20250224122259
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: BUHACH PRESCHOOL YOSEMITE CROSSING
FACILITY NUMBER: 243810259
VISIT DATE: 03/14/2025
NARRATIVE
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Furthermore, Director Mays acknowledged that the facility did not have an Emergency Disaster Plan nor an Emergency Evacuation Map readily available in a prominent location where staff would be able to access it. During interviews, Director Mays disclosed that the facility conducted fire drills in a monthly basis, however contrary to the facility’s statements, information obtained through interviews indicated that the facility had not conducted any fire drills since the facility’s opening. During a review of records, it was observed that the Emergency Disaster Plan on file contained duties assigned to staff who were no longer employed at the facility. Based on interviews it was determined that staff were unable to identify a temporary relocation site in the event of an evacuation. Furthermore, staff training in Emergency Evacuation Procedures was inconsistent and lacked clarity. Based on LPA Herrera’s interviews, observations, and records obtained, the preponderance of evidence has been met; therefore, the above allegation is found to be SUBSTANTIATED.
Exit interview conducted and report was reviewed with Director Jennifer Mays. Appeal rights were provided. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see LIC. 809-D). 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: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 04-CC-20250224122259
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: BUHACH PRESCHOOL YOSEMITE CROSSING
FACILITY NUMBER: 243810259
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/14/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/28/2025
Section Cited
CCR
101174(a)
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101174 Disaster and Mass Casualty Plan
(a) Each licensee shall have a disaster and mass casualty plan of action. The plan shall be in writing and shall be readily available.
This requirement is not met as evidenced by:
Based on observations, records review and interviews.
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The facility will conduct and document a comprehensive Emergency Evacuation Plan (including fire drill) training for all staff and children in the facility. The facility will ensure that the LIC 610 is posted in a prominent area where staff can access it. The facility will continue to
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The facility failed to post their Disaster Plan in a prominent area were staff would be able to access it as it was stored at an off-site location. Furethermore, interviews disclosed that the facility did not conduct fire drills and did not instruct staff in their duties and responsibilities under the plan, which poses/posed a potential health, safety or personal rights risk to persons in care.

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maintain and notify staff of any changes to the LIC 610 Emergency Disaster Plan. Additionally, the facility will ensure that all staff review the same Emergency Evacuation Procedures. The facility agreed to submit copies of the facilities most current LIC 610, Emergency Evacuation Procedures and the summary of the training that was provided, with the attendance sheets with all employees signatures to CCLD Fresno by 03/28/2026.
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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.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Miguel Herrera
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2025
LIC9099 (FAS) - (06/04)
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