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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801593
Report Date: 03/10/2025
Date Signed: 03/10/2025 02:17:48 PM

Document Has Been Signed on 03/10/2025 02:17 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:CHRISTKIDS PRESCHOOL & CHILDCAREFACILITY NUMBER:
543801593
ADMINISTRATOR/
DIRECTOR:		EGGE, DENISEFACILITY TYPE:
850
ADDRESS:3830 W. TULARETELEPHONE:
(559) 732-7476
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 24DATE:
03/10/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:03 PM
MET WITH:Tiffeny NunesTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
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On this date 03/10/2025, an unannounced Case Management - Other Inspection was conducted by Licensing Program Analysts (LPAs) Sonja Navarrette and Lady Cabrera. LPAs met with Tiffeny Nunes to review the below missing documents for the director's packet that was submitted to the Department.

Missing documents:

  • Preventive Health & Safety Certificate
  • EMSA certified CPR/First Aid Certificate
  • Health Screening (only blank form submitted)
  • TB test results
  • Immunizations for pertussis, measles, and influenza
  • LIC500-Signature on second page
  • LIC610-Emergency disaster plan
  • LIC9108
  • AB1207 Mandated Reporter training certificate
  • Operations and Record Keeping Orientation Certificate.


Exit interview conducted and report was reviewed with Designated Representative Tiffeny Nunes. Appeal rights were provided.


LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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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