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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808887
Report Date: 06/10/2024
Date Signed: 06/10/2024 10:01:14 AM

Document Has Been Signed on 06/10/2024 10:01 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SMALL WORLD CHRISTIAN SCHOOLFACILITY NUMBER:
503808887
ADMINISTRATOR/
DIRECTOR:		PADILLA, MIRIAMFACILITY TYPE:
850
ADDRESS:1024 6TH STREETTELEPHONE:
(209) 523-4388
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY: 74TOTAL ENROLLED CHILDREN: 61CENSUS: 34DATE:
06/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Debra MartinezTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
NARRATIVE
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On June 10, 2024, Licensing Program Analysts (LPA), Yesenia Fierro conducted an unannounced case management inspection. LPA Fierro met with Site Supervisor Debra Martinez, LPA toured the facility, and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 05/23/2024, multiple classrooms were playing outside at approximately 9:00 a.m. staff 1 (S1) took her class inside for snacks and left child 1 (C1) outside. C1 went into the 4-year-old class where there was no staff or children present. Child 1 was inside the empty the classroom for approximately 10 minutes. Staff 2 located C1 and took him back into S1 classroom. Staff 3 notified Site Supervisor. C1 mother who works at the facility was notified and staff were asked to write statements of what had occurred.

Based on the information obtained via an Unusual Report and interview with Director Padilla the facility failed to provide adequate care and supervision.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D)

Exit interview conducted and report was reviewed with Site Supervisor Debra Martinez.



Notice of site visit was given and must remain posted for 30 days.

A copy of this report and appeal rights were provided.

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 06/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2024
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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Document Has Been Signed on 06/10/2024 10:01 AM - It Cannot Be Edited


Created By: Yesenia Fierro On 06/10/2024 at 09:17 AM
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: SMALL WORLD CHRISTIAN SCHOOL
FACILITY NUMBER: 503808887

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision. (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time...Supervision shall include visual observation.
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Director stated they will be conducting a staff meeting and review care and supervision. Director will submit the written plan along with staff signitures acknowleding they have been informed. Plan will be submitted by 6/21/2024
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This requirement was not met as evidenced by: information obtained via an unusual incident report and self-admission of director. The lack of supervision made it possible for child #1 to be left alone in a classroom for approximately 10 minutes. This poses an immediate risk to the health, safety and 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:Scott Herring
LICENSING EVALUATOR NAME:Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:
DATE: 06/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2024


LIC809 (FAS) - (06/04)
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