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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540405710
Report Date: 05/21/2024
Date Signed: 05/21/2024 03:57:32 PM

Document Has Been Signed on 05/21/2024 03:57 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FAIRVIEW VILLAGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
540405710
ADMINISTRATOR/
DIRECTOR:		CHRISTINA HANGERFACILITY TYPE:
850
ADDRESS:2645 N. CONYER STREETTELEPHONE:
(559) 627-2296
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 24DATE:
05/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Lorena LopezTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
NARRATIVE
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On May 21, 2024 Licensing Program Analysts (LPAs), Kari McWilliams and Chris Burnias, conducted an unannounced case management inspection. LPAs toured the facility and a census was taken. LPAs met with Director Lorena Lopez and informed Director Lopez of the purpose of todays inspection.

On May 10, 2024 it was reported to the Fresno South Regional office that on May 10, 2024 Child #1(C1) was inappropriately touching other children and pulling down their own pants. It was reported that C1 has a history of behaviors and staff are communicating with parent/guardian of C1.

During today’s inspection LPAs interviewed staff involved, completed a child file review and gathered more information.

During today’s inspection LPAs were informed of other incidents that occurred involving C1 and other children in the facility. During the file reviews LPAs observed that reports that were made by staff were not reported as required.


Per California Code of Regulations Title 22, Division 12, Chapter 1, the following deficiencies are cited, please see following page (LIC-809-d). Exit interview and report reviewed with Director Lorena Lopez. Notice of Site Inspection required to be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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 05/21/2024 03:57 PM - It Cannot Be Edited


Created By: Kari McWilliams On 05/21/2024 at 03:24 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: FAIRVIEW VILLAGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 540405710

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/04/2024
Section Cited
CCR
101212(d)(1)(C)

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Reporting Requirements(d) Upon the occurrence, during the operation of the child care center of any of the events specified in ...(1)Events reported shall include the following:(C)Any unusual incident or child absence that
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Director Lopez states that the facility will conduct a training on reporting requirements, specifically SCAR reports and send a agenda via email to LPA by above POC date.
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 threatens the physical or emotional health or safety of any child. This requirement was not met as evidenced by reports of other incidents of innapropriate behaviors by C1 not being reported poses a potential health and safety or personal rights risk to children in care.
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Type B
06/04/2024
Section Cited
CCR101223(a)(2)

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Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
This requirement was not met by evidence of:
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Director Lopez states that the facility will provide a plan to ensure that C1's individual needs are met, and to ensure the safety of the other children in care. Director Lopez states that she will send the plan via email to LPA by above POC date.
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C1 was diagnosed with level 2 autism and there is no plan to meet C1 needs as well as the other children in care which poses a potential health and safety or personal rights 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:Luisa Gavoutian
LICENSING EVALUATOR NAME:Kari McWilliams
LICENSING EVALUATOR SIGNATURE:
DATE: 05/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/21/2024


LIC809 (FAS) - (06/04)
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