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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540407183
Report Date: 03/18/2025
Date Signed: 03/18/2025 01:42:38 PM

Document Has Been Signed on 03/18/2025 01:42 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WOODLAKE UNIFIED SCHOOL DISTRICT-LULU BLAIR KRESSFACILITY NUMBER:
540407183
ADMINISTRATOR/
DIRECTOR:		QUIROZ, MARTHAFACILITY TYPE:
850
ADDRESS:618 N. CYPRESSTELEPHONE:
(559) 564-1801
CITY:WOODLAKESTATE: CAZIP CODE:
93286
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 0DATE:
03/18/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:28 AM
MET WITH:Martha QuirozTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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On 03/18/2025, Licensing Program Analysts (LPAs) Anita Tristan and Elizabeth Martinez arrived at the facility to conduct an unannounced Case Management Inspection. LPA met with Director, Martha Quiroz. LPAs toured the facility inside and out. There were no children present at the time of inspection.

The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 03/17/2025. On 03/14/2025 Child #1 (C1) sustained an injury to forehead that required 3 stitches. Per director, the child was walking across the rug area in the classroom when child tripped over feet and fell hitting head on a blue table.

Staff provided first aid to C1, called 911, and parents. Director accompanied parents to hospital.
C1 returned to the facility on 03/17/2025. There have been no further issues.

This appears to be an isolated incident and staff took appropriate measures to address the injured child, following appropriate policies, regulations, and reporting requirements.

Exit interview conducted and report was reviewed with Director, Martha Quiroz. Appeal rights were provided and discussed.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
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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