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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810185
Report Date: 04/08/2024
Date Signed: 04/08/2024 10:37:37 AM

Document Has Been Signed on 04/08/2024 10:37 AM - 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FEOC RICHARD KEYES HEAD STARTFACILITY NUMBER:
103810185
ADMINISTRATOR/
DIRECTOR:		ALCORTA, GUADALUPEFACILITY TYPE:
850
ADDRESS:1620 W FAIRMONT AVETELEPHONE:
(559) 263-1205
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 43DATE:
04/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Shelly Federico - Interim DirectorTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 04/08/2024, Licensing Program Analyst (LPA) Valerie Mireles met with Interim Director Shelly Federico for an unannounced Case Management inspection. A complete file review was conducted prior to today's inspection. LPA toured the facility inside and outside and a census was taken. There were 43 children separated into four classrooms. The purpose of today's inspection was to address an unusual incident that took place at the facility on 03/05/2024.

An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office regarding an incident that occurred, on 03/05/2024, involving a daycare child (Child #1) that fell while jumping over cones and bumping into another child (Child #2) resulting in Child #1 sustaining an injury to the buttocks. On 04/08/2024, LPA spoke with the Staff #1, who was present when the incident occurred and was in proximity of the child when the incident occurred. According to Staff #1, Child #1 was jumping over plastic cones, bumped into Child #2. Child #1 then fell, landed on their buttocks. Staff #1 went over and checked on Child #1, comforted Child #1 while they cried, then Child #1 continued to play. Just before parent pick-up, Child #1 complained about their “bottom” hurting and parent was notified during pick-up. According to Staff #1, the child was taken by parent to their physician the following morning after the incident due to bruising to the buttocks. The parents kept the child home from preschool for two days and the child returned with no special accommodations required or a doctor's note.

On 04/08/2024, LPA observed the outdoor play area where the incident took place. The outdoor play area, plastic cones were inspected and were in good condition with no visible defects. The ground where the incident took place was cushioned to absorb falls. At the time of the incident there was one teacher, one teacher assistant present, and approximately seven children present at the outdoor playground where the incident occurred; therefore, adequate supervision was in place. LPA obtained facility records and staff records. Continued to LIC809-C.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE: DATE: 04/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/08/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FEOC RICHARD KEYES HEAD START
FACILITY NUMBER: 103810185
VISIT DATE: 04/08/2024
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Based on the information obtained, LPA determined staff handled the incident correctly and reporting requirements were met. After interviewing staff and reviewing facility records, LPA determined facility staff took appropriate measures to address the child’s injury, following proper policies and procedures and no regulations were violated.

Per the California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today’s inspection. LIC 9213 Notice Of Site visit form was provided to Interim Director and is required to be posted for 30 days. Exit interview conducted with the Interim Director Shelly Federico.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 04/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2024
LIC809 (FAS) - (06/04)
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