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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 160401939
Report Date: 11/20/2024
Date Signed: 11/20/2024 12:26:55 PM

Document Has Been Signed on 11/20/2024 12:26 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:DOLORES HUERTA HEAD START CENTERFACILITY NUMBER:
160401939
ADMINISTRATOR/
DIRECTOR:
DE LA CRUZ, TAYLORFACILITY TYPE:
850
ADDRESS:700 6 1/2 AVETELEPHONE:
(559) 992-5200
CITY:CORCORANSTATE: CAZIP CODE:
93212
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 13DATE:
11/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:14 AM
MET WITH:Vanessa MendozaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On November 20, 2024, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced Case Management Incident inspection. LPA met with Director Vanessa Mendoza. LPA Garcia toured the facility indoors and outdoors and took a census. The purpose of today’s inspection was to discuss an unusual incident that was reported to Community Care Licensing (CCL) on October 7, 2024, where Child 1 (C1) sustained a head injury when child returned to his seat after dumping his tray during lunch time.

At approximately 1:30 PM on October 4, 2024, while C1 was returning to an assigned seat from discarding trach, C1 tripped over a nearby chair’s leg causing him/her to fall and hit his/her forehead on another adjacent wooden chair with enough force that caused an approximate one (1) centimeter laceration on his/her forehead above the right eye. S1 observed the incident and minimal bleeding, then immediately applied ice, gauze, and surgical tape to stop the bleeding.

The director notified child’s father of the incident and sent him photos of the injury however, child’s father chose not to pick him up until approximately 4:30 PM due to the lack of severity of the cut. C1 was taken to a medical provider later that evening around 8:30 PM and C1 received two stitches and was cleared to return back to care with no restrictions. Child returned to care on October 7, 2024. Stitches were removed approximately one week later.

LPA interviewed staff and analyzed the environment. LPA determined that this was an isolated incident that could not have reasonably been prevented however, moving forward, staff will have children push in their chairs at the table.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited. A notice of site visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 11/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/20/2024
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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