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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243910441
Report Date: 12/15/2022
Date Signed: 12/15/2022 01:56:41 PM

Document Has Been Signed on 12/15/2022 01:56 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:SALINAS, SHARON FAMILY CHILD CAREFACILITY NUMBER:
243910441
ADMINISTRATOR:SALINAS, SHARONFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 947-4900
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 10DATE:
12/15/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Sharon Salinas - LicenseeTIME COMPLETED:
02:15 PM
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On 12/15/22 Licensing Program Analyst (LPA) Joseph Pacheco arrived at the facility to conduct an unannounced Case Management inspection. LPA met with Licensee, Sharon Salinas, toured the facility and a census was taken. An unusual incident was reported to the Fresno Regional Office regarding an incident that occurred on 11/15/22. On that day, children were outside playing in the backyard when two children began to fuss over a toy. Child #1 was standing next to Staff #1 when this occurred. Staff #1 stepped in to resolve the issue. While Staff #1 was helping the two other children, Child #1 climbed up the steps that lead from the backyard to the sliding glass door into the home. Child #1 began to climb back down the steps when they fell and sustained a swollen and scraped upper lip and cuts to their face. Licensee and Staff #1 applied first aid to Child #1. Licensee contacted Child #1's authorized representative. Child #1 was not taken for further medical treatment and there was no injury diagnosis. Licensee immediately blocked off the steps with child safety gates and locks. During today's inspection LPA observed the area where the incident occurred. LPA observed child safety gates and locks around the steps making the area inaccessible to children in care. LPA did not observe any tripping hazards nor sharp, loose or pointed parts.
This appears to be an isolated incident and staff took appropriate measures to address the child's injury, following appropriate policies, regulations and reporting requirements.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Licensee, Sharon Salinas.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2022
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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