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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503911993
Report Date: 12/06/2023
Date Signed: 12/06/2023 02:09:35 PM

Document Has Been Signed on 12/06/2023 02:09 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:BRYAN, TREAVIONA FAMILY CHILD CAREFACILITY NUMBER:
503911993
ADMINISTRATOR:BRYAN, TREAVIONAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 368-3054
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY: 14TOTAL ENROLLED CHILDREN: 17CENSUS: 11DATE:
12/06/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Treaviona BryanTIME COMPLETED:
02:15 PM
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On 12/06/2023, Licensing Program Analysts (LPAs) Jeovanna Yanez and Yesenia Fierro conducted an unannounced case management inspection. LPAs met with Licensee, Treaviona Bryan, and a census was taken. The purpose of today’s inspection was to address incidents involving Staff #1, that the Department was made aware of.

On 09/27/2023, the Department was made aware of an incident that occurred on 09/26/2023, where Staff #! and Staff #2 engaged in a verbal altercation in front of daycare children during operating hours, which violated the health, safety, and personal rights of children in care. Video footage obtained by LPA also demonstrated Staff #1 and Staff #2 engaging in this verbal altercation while children were present. LPA discussed children's personal rights with Licensee. CCR Section 102423 (a)(1) states "Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative. These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons." Licensee was reminded that children should be accorded dignity in their personal relationships with staff.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiency was found: (see LIC809-D). A copy of appeal rights were provided.

LPA Jeovanna Yanez informed Licensee, Treaviona Bryan, that this report dated 12/06/23 documents 1 Type A citation(s) which shall be posted for 30 consecutive days as there are immediate risks to the health, safety, or personal rights of children in care.

(CONTINUED ON 809-C)

SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: BRYAN, TREAVIONA FAMILY CHILD CARE
FACILITY NUMBER: 503911993
VISIT DATE: 12/06/2023
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Also, LPA Yanez informed the licensee to provide a copy of this licensing report dated 12/06/233 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the licensee, Treaviona Bryan. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 12/06/2023 02:09 PM - It Cannot Be Edited


Created By: Jeovanna Yanez On 12/06/2023 at 10:42 AM
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: BRYAN, TREAVIONA FAMILY CHILD CARE
FACILITY NUMBER: 503911993

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/07/2023
Section Cited
CCR
102417(a)(1)

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(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee... These rights include, but are not limited to, the following: (1) To be treated with dignity in his/her personal relationship with staff and other persons.
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Licensee will submit a written statement about Children's personal rights and how she will continue to maintain compliance with this regulation. Licensee shall submit this written statement to CCL by POC due date.
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This requirement was not met as evidenced by: Based on interview and video footage obtained, on 09/26/2023, Staff #1 and Staff #2 engaged in a verbal altercation in front of daycare children during operating hours. This poses an immediate personal rights, health, and safety risk to children in care
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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:Rene Mancinas
LICENSING EVALUATOR NAME:Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2023


LIC809 (FAS) - (06/04)
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