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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808662
Report Date: 01/03/2022
Date Signed: 01/03/2022 12:49:23 PM

Document Has Been Signed on 01/03/2022 12:49 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LIL' EXPLORERSFACILITY NUMBER:
153808662
ADMINISTRATOR:BLANKENSHIP,MICHELLEFACILITY TYPE:
850
ADDRESS:8800 HARRIS ROADTELEPHONE:
(661) 665-1200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 298TOTAL ENROLLED CHILDREN: 298CENSUS: 139DATE:
01/03/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Dawn HollemanTIME COMPLETED:
01:30 PM
NARRATIVE
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On 1/3/22 Licensing Program Analysts (LPAs) Caroline Harris conducted an unannounced case management inspection. LPA met with administrator, Dawn Holleman and a census was taken. The purpose of this report is to cite deficiencies that were observed during a complaint investigation.

Upon inspection, the LPA observed all but one staff member to be wearing masks when inside the facility, and less than half of the children wearing masks. The LPA also observed three different parents enter the facility and walk their children to their classrooms, without having masks on. Staff members did not encourage the parents or the children to wear a mask and parents were not encouraged to have children arrive with a mask. Licensee was advised that children aged 2 and older will need to be taught and reminded to wear face coverings.

California Code of Regulations, Title 22, Division 12, Chapter (1), are being cited on the attached LIC 9099D.

An exit interview was conducted with Ms. Holleman. A printed copy of this report as well as appeal rights were provided to Dawn Holleman at the conclusion of the visit. A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 01/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/03/2022
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 01/03/2022 12:49 PM - It Cannot Be Edited


Created By: Caroline Harris On 01/03/2022 at 12:13 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: LIL' EXPLORERS
FACILITY NUMBER: 153808662

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/03/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/31/2022
Section Cited
CCR
101419.2(b)(4)

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The licensee shall ensure that each child is accorded the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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The administrator was provided with the Provider Information Notice (PIN) # 21-18-CCP that reviews Covid guidelines. The administrator agrees to train her staff on these guidelines and provide the staff sign in sheet to the LPA by the given due date of
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This requirement was not met as evidenced by the LPA's observations further documented in the 809 report. This is a possible risk to the health, safety or personal rights of children in care.
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The parents will also be provided with the Covid guidelines and they will sign a form stating that they have received them and understand them.

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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:Alice Juarez
LICENSING EVALUATOR NAME:Caroline Harris
LICENSING EVALUATOR SIGNATURE:
DATE: 01/03/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/03/2022


LIC809 (FAS) - (06/04)
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