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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100403323
Report Date: 03/06/2024
Date Signed: 03/06/2024 12:47:32 PM

Document Has Been Signed on 03/06/2024 12:47 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FRESNO EOC WILSON HEAD STARTFACILITY NUMBER:
100403323
ADMINISTRATOR:RODRIGUEZ, ANGELITAFACILITY TYPE:
850
ADDRESS:1325 STILLMANTELEPHONE:
(559) 263-1205
CITY:SELMASTATE: CAZIP CODE:
93662
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 14DATE:
03/06/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Angelita RodriguezTIME COMPLETED:
01:00 PM
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On 3/6/2024, Licensing Program Analyst (LPA) Claribel Soto conducted an unannounced case management – unusual incident inspection. LPA met with Director Angelita Rodriguez. LPA toured the facility and took a census. The purpose of today's inspection was to follow-up on an unusual incident that was reported to Community Care Licensing (CCL) on 2/8/2024. The Incident reported was regarding child #1 having red marks on his cheek and chest.

During today's inspection, LPA Soto interviewed staff #1 who was present during the incident. LPA reviewed staff records and outcomes surrounding the incident. Incident occurred right before pick up time. Staff #1 stated child #1 was throwing a ball at the windows and had broken part of the window frame. Staff had asked child to stop and child ran to the bathroom and threw himself on the floor, kicking and yelling. Child’s grandmother came to pick up child and staff tried to explain and inform grandmother what had just happened with child. Staff#1 stated she did not see any injuries or marks on child. Staff #1 stated child has an IEP and mother had previously informed staff that child has a tendency of throwing himself on the floor. Staff reported child #1 did not receive any medical treatment and child is no longer enrolled at the facility.

Since the incident occurred staff have had trainings and will continue to have further meetings and staff development trainings focusing on children’s behavior and communication.

Based on the information obtained, LPA determined facility handled the incident correctly and reporting requirements were met. After interviewing staff and reviewing facility records, LPA determined facility took appropriate measures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency was cited during today's visit. An exit interview was conducted with Director, Angelita Rodriguez.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Claribel Soto
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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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