FRESNO EOC CLOVIS HEAD START

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On April 29th, 2025, Licensing Program Analyst (LPA) Julio Rodriguez conducted an unannounced Case Management Inspection. LPA met with Director Anna Ontiveros, toured the facility, and a census was taken. The purpose of today's inspection was regarding an Unusual Incident that was self-reported to Community Care Licensing-Fresno Division, the incident occurred on 04/09/2025. The incident involved child #1 sustaining an injury that required medical attention. During today’s visit LPA Rodriguez conducted facility observations, interviewed staff, and reviewed facility records pertinent to the incident. During the facility tour, LPA Rodriguez conducted observations in the outdoor play area where the incident occurred. The surface of the outdoor play area is maintained in a safe condition. LPA Rodriguez did not observe any potholes or tripping hazards in the playground areas that could pose a danger to children in care. Based on interviews, it was determined that child #1 was running under a playground climbing structure In the outdoor play area and impacted the corner of the structure resulting in an abrasion to child #1's head. Per interviews, staff immediately provided aid to the child, the wound was cleaned, and first aid was applied. The facility promptly contacted the child’s authorized representatives. During today's inspection LPA Rodriguez observed that the facility practices proper supervision of children inside and outside the classroom. The facility practices zoning in the outdoor space to ensure children are always supervised, and ensures that there is direct view of each zone in the outdoor play area. Furthermore, LPA determined that it was an isolated incident, and staff took appropriate measures to address the incident, following appropriate policies, regulations, and reporting requirements. Based on interviews, LPA Rodriguez determined that the facility was within ratio and was practicing proper supervision during the time of the incident. Teacher/child ratios are maintained, and adequate supervision was being provided during today's visit. Continued on 809-C. NAME OF LICENSING PROGRAM MANAGER: Juvenal Moctezuma NAME OF LICENSING PROGRAM ANALYST: Julio Rodriguez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/29/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 3 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be grante

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On April 29th, 2025, Licensing Program Analyst (LPA) Julio Rodriguez conducted an unannounced Case Management Inspection. LPA met with Director Anna Ontiveros, toured the facility, and a census was taken. The purpose of today's inspection was regarding an Unusual Incident that was self-reported to Community Care Licensing-Fresno Division, the incident occurred on 04/09/2025. The incident involved child #1 sustaining an injury that required medical attention. During today’s visit LPA Rodriguez conducted facility observations, interviewed staff, and reviewed facility records pertinent to the incident. During the facility tour, LPA Rodriguez conducted observations in the outdoor play area where the incident occurred. The surface of the outdoor play area is maintained in a safe condition. LPA Rodriguez did not observe any potholes or tripping hazards in the playground areas that could pose a danger to children in care. Based on interviews, it was determined that child #1 was running under a playground climbing structure In the outdoor play area and impacted the corner of the structure resulting in an abrasion to child #1's head. Per interviews, staff immediately provided aid to the child, the wound was cleaned, and first aid was applied. The facility promptly contacted the child’s authorized representatives. During today's inspection LPA Rodriguez observed that the facility practices proper supervision of children inside and outside the classroom. The facility practices zoning in the outdoor space to ensure children are always supervised, and ensures that there is direct view of each zone in the outdoor play area. Furthermore, LPA determined that it was an isolated incident, and staff took appropriate measures to address the incident, following appropriate policies, regulations, and reporting requirements. Based on interviews, LPA Rodriguez determined that the facility was within ratio and was practicing proper supervision during the time of the incident. Teacher/child ratios are maintained, and adequate supervision was being provided during today's visit. Continued on 809-C. NAME OF LICENSING PROGRAM MANAGER: Juvenal Moctezuma NAME OF LICENSING PROGRAM ANALYST: Julio Rodriguez LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/29/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 3 FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form. DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies: Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care. Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care. PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be grante