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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808481
Report Date: 11/15/2024
Date Signed: 11/15/2024 09:16:17 AM

Document Has Been Signed on 11/15/2024 09:16 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:PETE H. PARRA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808481
ADMINISTRATOR/
DIRECTOR:
DODD, ESTHERFACILITY TYPE:
830
ADDRESS:1825 FELIZ DRIVETELEPHONE:
(661) 831-5915
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 37DATE:
11/15/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Esther DoddTIME VISIT/
INSPECTION COMPLETED:
09:30 AM
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On 11/15/2024, Licensing Program Analyst (LPA) Octavia Nolan conducted an unannounced case management inspection. LPA met with Site Supervisor Esther Dodd. LPA toured the facility inside and outside and took a census.

On 10/24/2024, the facility notified Community Care Licensing Office (CCL) of an Unusual Incident via telephone. On 10/23/2024 at 9:13 AM, Child #1 fell forward and hit their mouth on the play structure causing an injury to their lip during the outdoor activity time. Staff #1 witnessed the incident and provided first aid to Child #1. Staff #2 called the child’s parent to notify her about the incident and request the parent come to site to observe the injury. Child #1 was picked up by their parent at 10:35 AM and taken to Adventist Health Bakersfield in the evening. The child’s parent called the facility on 10/24/2024 and notified Staff #2 that Child #1 was diagnosed with a mouth laceration and received sutures for treatment. Child #1 is feeling better and returned to care on 10/25/2024.

LPA inspected the area where the incident took place and interviewed Staff #1. There are no hazards present on the outdoor activity area near the play structure. This appears to be an isolated incident and staff took appropriate measures to address the child’s injury. Staff also followed appropriate Department policies, procedures, and reporting requirements.

Exit interview conducted and report was reviewed with Site Supervisor Esther Dodd. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.
This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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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