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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163810162
Report Date: 04/21/2022
Date Signed: 04/21/2022 04:25:30 PM

Document Has Been Signed on 04/21/2022 04:25 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:REEF-SUNSET STATE PRESCHOOLFACILITY NUMBER:
163810162
ADMINISTRATOR:GONZALEZ, PATRICIAFACILITY TYPE:
850
ADDRESS:500 S FIRST AVETELEPHONE:
(559) 386-9083
CITY:AVENALSTATE: CAZIP CODE:
93204
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
04/21/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Patty GonzalezTIME COMPLETED:
01:15 PM
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On 4/21/22, Licensing Program Analyst (LPA) Diana Martinez conducted an unannounced case management inspection to follow up on an unusual incident that occurred on the playground on the morning of 4/1/22. The incident was called in in on 4/1/22, and the Unusual Incident Report (LIC 624) was received by Fresno Community Care Licensing on 4/8/22. LPA met with Director Patty Gonzalez. The incident occurred when Child #1 (C1), who was running, lost his/her balance and fell. Upon falling, C1 hit his/her forehead on a lower bracket that was part of the play structure pole. Teacher-child ratio was in compliance when incident occurred. Staff #1 (S1) witnessed when child lost balance and fell as S1 was standing approximately 9-10 feet away. Child sustained a 1.50 inch long cut and first aid was administered. Parent and paramedics were contacted and child was taken to emergency room for treatment, which included stitches. On 4/13/22, the entire play structure was removed as it had been approved for removal by the Reef-Sunset Unified School District prior to this incident occurring. C1 returned to facility on 4/5/22, with the only restriction of staying out of the sun as per clearance from doctor, and is doing well. LPA observed the area where incident occurred and did not observe any tripping hazards as structure has been removed. Facility is in the process of installing a new play structure and area is fenced off making it inaccessible to children. This was an isolated incident and staff took appropriate measures to address the child’s injury following agency policies and procedures.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiency is being cited.



Exit interview conducted with Director Patty Gonzalez and a copy of this report was provided and discussed. A Notice of Site Visit Form (LIC 9213) was posted on parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Diana D Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 04/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/21/2022
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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