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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 503808887
Report Date: 01/22/2025
Date Signed: 01/22/2025 11:19:03 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/16/2025 and conducted by Evaluator Yesenia Fierro
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20250116121939
FACILITY NAME:SMALL WORLD CHRISTIAN SCHOOLFACILITY NUMBER:
503808887
ADMINISTRATOR:PADILLA, MIRIAMFACILITY TYPE:
850
ADDRESS:1024 6TH STREETTELEPHONE:
(209) 523-4388
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY:74CENSUS: 36DATE:
01/22/2025
UNANNOUNCEDTIME BEGAN:
08:23 AM
MET WITH:Debrah MartinezTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff did not communicate with child's authorized representative regarding child's head injury in a timely manner.
INVESTIGATION FINDINGS:
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On January 22, 2025, Licensing Program Analyst (LPA) Yesenia conducted an unannounced complaint investigation. LPA met with Site Supervisor Debrah Martinez and discussed the purpose of the inspection and the investigation findings. A tour of the facility was conducted, and census was taken.

During the course of the investigation, LPA interviewed Site Supervisor and Teacher 1 and conducted a review of the facility parent handbook. Interviews conducted revealed that Child 1 sustained a head injury while playing outside and riding a non-age-appropriate ride on boat and Teacher 1 failed to immediately report the head injury to the Site Supervisor and parent or fill out an incident report.

Review of the facility parent handbook revealed that the facility does not have an incident report policy in place for injuries/head injuries.


Substantiated
Estimated Days of Completion: 60
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 04-CC-20250116121939
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: SMALL WORLD CHRISTIAN SCHOOL
FACILITY NUMBER: 503808887
VISIT DATE: 01/22/2025
NARRATIVE
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Based on the information obtained during the investigation, Teacher 1 did not inform parents or site supervisor in a timely manner, therefore the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED.

Per California code of regulations, Title 22, Division 12, Chapter 1, deficiency is being cited on the attached LIC 9099D.
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 04-CC-20250116121939
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SMALL WORLD CHRISTIAN SCHOOL
FACILITY NUMBER: 503808887
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2025
Section Cited
CCR
101212(d)(1)(B)
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(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made....(1) Events reported shall include the following:
(B)Any injury to any child that requires medical treatment.

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Facility shall update parent handbook and included a section regarding the facility reporting requirements.
Site Supervisor shall conduct an all staff meeting reviewing updated policy on facilities reporting requirement and submit an attendance sheet to CCLD by due date 2/21/2025
Facility shall submit an update parent handbook to CCLD by due date 2/21/2025
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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.
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3