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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801652
Report Date: 06/07/2023
Date Signed: 06/07/2023 02:14:09 PM

Document Has Been Signed on 06/07/2023 02:14 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WOODLAKE CHILD DEVELOPMENT CENTER #1FACILITY NUMBER:
543801652
ADMINISTRATOR:DIMAS, AZALIAFACILITY TYPE:
850
ADDRESS:560 SEQUIOATELEPHONE:
(559) 564-2135
CITY:WOODLAKESTATE: CAZIP CODE:
93286
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 23DATE:
06/07/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Erlinda ContrerasTIME COMPLETED:
02:30 PM
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On 06/07/2023, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced Case Management inspection regarding an incident report filed with Community Care Licensing (CCL). LPA met with Site Supervisor (SS) Erlinda Contreras, explained purpose of inspection, toured facility, and took a census.

On 05/11/2023, Child #1 told his parent that Teacher #1 pulled his hair. Program Education Manager Lorena Davis investigated the alleged incident. Facility determined the alleged incident did not occur based on interviews with Teacher #1 and Teacher #2.

LPA interviewed Teacher #1 and Teacher #2. Teacher #2 was present in the room with Teacher #1 on 05/11/2023 when alleged incident occurred. Teacher #2 stated she did not witness any aggressive behavior from Teacher #1. Teacher #2 stated she witnessed Teacher #1 touch Child #1's shoulders to guide him to his nap cot. Teacher #2 stated after Child #1 was laying down, she sat next to Child #1 and Teacher #1 assisted other children. Teacher #2 stated she has never witnessed any concerning behavior from Teacher #1. Teacher #2 stated there were no other staff in the classroom at the time except Teacher #1.

Teacher #1 stated she touched Child #1's shoulders to help him lay down. Teacher #1 stated she never pulled his hair and would not do that. Teacher #1 stated Teacher #2 came toward her to sit by Child #1 while Teacher #1 assisted other children at nap time. Teacher #1 stated there were no other staff in the room except Teacher #2 at the time.

Both Teacher #1 and Teacher #2 stated they attended a training regarding personal rights and standards of conduct. Both teachers signed forms acknowledging policies and regulations. The training records and acknowledgment forms were provided to CCL with incident report.
(Continued on LIC 809-C)
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Candis Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2023
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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: WOODLAKE CHILD DEVELOPMENT CENTER #1
FACILITY NUMBER: 543801652
VISIT DATE: 06/07/2023
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SS Erlinda Contreras stated she checks on the classroom and observes interactions weekly in the mornings, at least one day a week. SS stated facility administrator reached out to parent of Child #1 to explain findings of their investigation and attempt to work with parent on accommodating Child #1. Parent of Child #1 did not bring Child #1 back to facility and dis-enrolled Child #1 from facility.

Per Title 22, Division 12, 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: Susie Fanning
LICENSING EVALUATOR NAME: Candis Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2023
LIC809 (FAS) - (06/04)
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