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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808261
Report Date: 02/08/2024
Date Signed: 02/08/2024 04:54:33 PM

Document Has Been Signed on 02/08/2024 04:54 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CASTLE HEAD STARTFACILITY NUMBER:
243808261
ADMINISTRATOR:TAI, KATHLEENFACILITY TYPE:
850
ADDRESS:2050 ACADEMYTELEPHONE:
(209) 381-5176
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 49DATE:
02/08/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Susan Camargo-DirectorTIME COMPLETED:
05:10 PM
NARRATIVE
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On 02/08/2024, Licensing Program Analysts (LPAs) Ka Vang and Behatriz Gonzalez conducted an unannounced Case Management-Injury and was met Supervisor Susan Camago. A complete file review was conducted prior to today’s inspection. LPAs toured the facility and a census as taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) on 02/06/2024 regarding an incident that occurred on 02/06/2024. The purpose of this inspection was to investigate this incident, where Child #1’s personal rights were violated. On 02/06/2024, at 8:20 AM, C1 started having fever at 100.9, at 12:30 PM, C1 fever was at 102.4 and by 1:15 PM, C1 fever was at 103.2.

LPAs conducted interview with Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3) who were presented when the incident occurred. Per S1, at the time of the incident occurred, she was off-site; however, she returned to site and emergency personnel (9-1-1) was contacted at 1:23 PM as C1 fever continued to rise. S1 stated that S2, S3 and other staff have made multiple attempts to reach parent and emergency contacts via phone; however, parent did not answer the phone, and emergency contacts were not available. At 11:00 AM, a home visit was attempted by S3, but the parent was not home.

LPAs conducted interview with S2, who directly supervised the classroom and witnessed this incident as C1 arrived at her classroom 8:15 AM. S2 stated that when C1 arrived, S2 observed child appeared to be tired. S2 asked C1 if C1 was feeling well and C1’s responded that C1 was tired. At 8:30AM, when the daycare children were having breakfast, S2 observed C1 did not want to eat her breakfast or lunch, however, C1 child drank a small amount of water. At 8:35 AM, S2 took C1’s temperature and it was 101; therefore, S2 contacted C1’s parent but the call unsuccessful. From 8:30 AM to 1:23 PM, as C1’s fever continued to rise, S2 continued to monitor by calling C1’s parent, and emergency contacts, but the contact was unsuccessful. Per S2, as C1’s fever continued to rise to 103.2, S1 then contacted emergency personnel (9-1-1). Per S2, during the incident, she was not aware of the next protocol if the parent was not able to reach.

(Continued on LIC809-C).

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/08/2024
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: CASTLE HEAD START
FACILITY NUMBER: 243808261
VISIT DATE: 02/08/2024
NARRATIVE
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LPAs also conducted an interview with S3, S3 stated that her and anther staff conducted a home visit to C1’s home at 11:00 AM as S2 and the other staff were not able to get in contacts with one of C1’s parent via phone. When S3 and another FSSP arrived at the home of C1’s, there was no response from the home. S3 stated that she is not aware of the facility protocol, if once the parent was not able to be reached.

During LPA Ka interviewed with S1, S2, and S3, they were not aware of the protocol if a child is involved extremely ill if the child’s parent is not able to be reached. Due to the severity of the incident as C1’s fever was increasing and no appropriate protocol was taken in a timely manner, this poses an immediate risk to the health, safety, or personal rights of children in care.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there is deficiency been cited during today’s inspection. (See page LIC809-D for additional information).

Upon receipt of a Type A violation, Director shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Director.

Director was provided a copy of appeal rights. A notice of site visit (LIC 9213) was given and must remain posted for 30 days. This report shall be made available to the public upon request. Exit interview conducted and report was reviewed with Director.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 02/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/08/2024 04:54 PM - It Cannot Be Edited


Created By: Ka Vang On 02/08/2024 at 03:41 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CASTLE HEAD START

FACILITY NUMBER: 243808261

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/29/2024
Section Cited
CCR
101223(a)(2)

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(a) The licensee shall ensure that each child is accorded the following personal rights: (2)To be accorded safe, healthful, and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement is not met as evidenced by:
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Per Director, she agrees that she will conduct a training on children’s personal rights and training regarding the appropriate protocol to take if a child is extremely ill. Director is to submit proof of attendance and protocol training materials to CCL-Fresno Office by 02/29/2024.
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Based on record review and interviews conducted, C1 started having fever at 8:20 AM at 100.9, at 12:30 PM, C1’s fever was 102.4 and by 1:15 PM, C1 fever was at 103.2. During the interviews, staff were not aware of the protocol if a child involved is extremely ill and if the child’s parent is not able to be reached. Staff were also not able to identify the next appropriate protocol to take. This poses an immediate risk to the health, safety, or personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Ka Vang
LICENSING EVALUATOR SIGNATURE:
DATE: 02/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/08/2024


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