FARMERSVILLE CHILD DEVELOPMENT CENTER

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 05/06/2022, Licensing Program Analyst (LPA) Robert Gutierrez met with Site Supervisor, Marcela Garcia for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident, reported to the Fresno Community Care Licensing (CCL) office. This incident occurred at the facility in playground on 04/26/2022 and was reported to the CCL office on 04/27/2022 after 5:00 PM. This incident involved a day-care child who fell and hit his head on the cement in the playground. While running in the playground sometime between 12:15 PM – 12:40 PM Child #1 (C1) fell onto the cement. Child #2 (C2) running after C1 fell on top him/her. Staff #1 (S1) was outside alone supervising eight children in care. S1 observed the incident take place and took C1 into the classroom. While in the classroom, S1 informed Staff #2 (S2) that C1 fell but, did not disclose that they fell on their head nor that a C2 fell on top of him/her. Being brought into the classroom, C1 mentioned his/her ear hurt. S2 accessed C1 for injuries pertaining to his/her ear but did not see any swelling or redness. S2 offered C1 a clean towel to clean his/her face. C1 then walked to his cot as it was a transition to nap. After a couple of minutes on the cot, C1 started to cry cupping his ear. S1 then gave a C1 an ice pack and the child fell asleep. C1 later woke up from the nap and for the remainder of the day kept to him/herself. It was at pick up at around 4:00 PM Ms. Garcia noticed a bump on the side of C1 head. It was at that moment the legal guardian of C1 was informed an injury occurred at the facility. C1 was taken home, but still complained about his/her head hurting. C1 was later taken to the hospital and was diagnosed with a head injury. C1 has been released from the hospital but still has not returned back to care. Continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Robert Gutierrez LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022 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 4 FACILITY NAME: FARMERSVILLE CHILD DEVELOPMENT CENTER FACILITY NUMBER: 543808911 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/06/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 05/06/2022 Section Cited CCR 101226(a) 1 2 3 4 5 6 7The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. 1 2 3 4 5 6 7Director stated staff were in a meeting on 04/29/2022 and topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in childcare settings were addressed. LPA took a copy of timecards to verify staff were present when the meeting occurred. 8 9 10 11 12 13 14This requirement is not met as evidenced by interviews conducted during today’s inspection. LPA was informed, while at the center C1 sustained a head injury on 04/26/2022 between 12:15 PM – 12:40 PM. However, the legal guardian of C1 was not informed of the injury until pick up at around 4:00 PM. This poses as an immediate risk to the health, safety, or personal rights of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Susie Fanning LICENSING EVALUATOR NAME:Robert Gutierrez LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022 FACILITY NAME: FARMERSVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER: 543808911 VISIT DATE: 05/06/2022 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32With the incident taking place, Program Director Hanadi Rousan scheduled an all staff meeting on 04/29/2022. This meeting addressed topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in child care settings. Another meeting regarding similar topics shall be scheduled later in the future. As a result of the incident, S1 was let go from the facility. LPA informed Ms. Garcia this incident shall be brought to

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 05/06/2022, Licensing Program Analyst (LPA) Robert Gutierrez met with Site Supervisor, Marcela Garcia for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident, reported to the Fresno Community Care Licensing (CCL) office. This incident occurred at the facility in playground on 04/26/2022 and was reported to the CCL office on 04/27/2022 after 5:00 PM. This incident involved a day-care child who fell and hit his head on the cement in the playground. While running in the playground sometime between 12:15 PM – 12:40 PM Child #1 (C1) fell onto the cement. Child #2 (C2) running after C1 fell on top him/her. Staff #1 (S1) was outside alone supervising eight children in care. S1 observed the incident take place and took C1 into the classroom. While in the classroom, S1 informed Staff #2 (S2) that C1 fell but, did not disclose that they fell on their head nor that a C2 fell on top of him/her. Being brought into the classroom, C1 mentioned his/her ear hurt. S2 accessed C1 for injuries pertaining to his/her ear but did not see any swelling or redness. S2 offered C1 a clean towel to clean his/her face. C1 then walked to his cot as it was a transition to nap. After a couple of minutes on the cot, C1 started to cry cupping his ear. S1 then gave a C1 an ice pack and the child fell asleep. C1 later woke up from the nap and for the remainder of the day kept to him/herself. It was at pick up at around 4:00 PM Ms. Garcia noticed a bump on the side of C1 head. It was at that moment the legal guardian of C1 was informed an injury occurred at the facility. C1 was taken home, but still complained about his/her head hurting. C1 was later taken to the hospital and was diagnosed with a head injury. C1 has been released from the hospital but still has not returned back to care. Continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Robert Gutierrez LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022 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 4 FACILITY NAME: FARMERSVILLE CHILD DEVELOPMENT CENTER FACILITY NUMBER: 543808911 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/06/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 05/06/2022 Section Cited CCR 101226(a) 1 2 3 4 5 6 7The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. 1 2 3 4 5 6 7Director stated staff were in a meeting on 04/29/2022 and topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in childcare settings were addressed. LPA took a copy of timecards to verify staff were present when the meeting occurred. 8 9 10 11 12 13 14This requirement is not met as evidenced by interviews conducted during today’s inspection. LPA was informed, while at the center C1 sustained a head injury on 04/26/2022 between 12:15 PM – 12:40 PM. However, the legal guardian of C1 was not informed of the injury until pick up at around 4:00 PM. This poses as an immediate risk to the health, safety, or personal rights of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Susie Fanning LICENSING EVALUATOR NAME:Robert Gutierrez LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022 FACILITY NAME: FARMERSVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER: 543808911 VISIT DATE: 05/06/2022 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32With the incident taking place, Program Director Hanadi Rousan scheduled an all staff meeting on 04/29/2022. This meeting addressed topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in child care settings. Another meeting regarding similar topics shall be scheduled later in the future. As a result of the incident, S1 was let go from the facility. LPA informed Ms. Garcia this incident shall be brought to

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 05/06/2022, Licensing Program Analyst (LPA) Robert Gutierrez met with Site Supervisor, Marcela Garcia for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident, reported to the Fresno Community Care Licensing (CCL) office. This incident occurred at the facility in playground on 04/26/2022 and was reported to the CCL office on 04/27/2022 after 5:00 PM. This incident involved a day-care child who fell and hit his head on the cement in the playground. While running in the playground sometime between 12:15 PM – 12:40 PM Child #1 (C1) fell onto the cement. Child #2 (C2) running after C1 fell on top him/her. Staff #1 (S1) was outside alone supervising eight children in care. S1 observed the incident take place and took C1 into the classroom. While in the classroom, S1 informed Staff #2 (S2) that C1 fell but, did not disclose that they fell on their head nor that a C2 fell on top of him/her. Being brought into the classroom, C1 mentioned his/her ear hurt. S2 accessed C1 for injuries pertaining to his/her ear but did not see any swelling or redness. S2 offered C1 a clean towel to clean his/her face. C1 then walked to his cot as it was a transition to nap. After a couple of minutes on the cot, C1 started to cry cupping his ear. S1 then gave a C1 an ice pack and the child fell asleep. C1 later woke up from the nap and for the remainder of the day kept to him/herself. It was at pick up at around 4:00 PM Ms. Garcia noticed a bump on the side of C1 head. It was at that moment the legal guardian of C1 was informed an injury occurred at the facility. C1 was taken home, but still complained about his/her head hurting. C1 was later taken to the hospital and was diagnosed with a head injury. C1 has been released from the hospital but still has not returned back to care. Continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Robert Gutierrez LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022 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 4 FACILITY NAME: FARMERSVILLE CHILD DEVELOPMENT CENTER FACILITY NUMBER: 543808911 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/06/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 05/06/2022 Section Cited CCR 101226(a) 1 2 3 4 5 6 7The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. 1 2 3 4 5 6 7Director stated staff were in a meeting on 04/29/2022 and topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in childcare settings were addressed. LPA took a copy of timecards to verify staff were present when the meeting occurred. 8 9 10 11 12 13 14This requirement is not met as evidenced by interviews conducted during today’s inspection. LPA was informed, while at the center C1 sustained a head injury on 04/26/2022 between 12:15 PM – 12:40 PM. However, the legal guardian of C1 was not informed of the injury until pick up at around 4:00 PM. This poses as an immediate risk to the health, safety, or personal rights of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Susie Fanning LICENSING EVALUATOR NAME:Robert Gutierrez LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022 FACILITY NAME: FARMERSVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER: 543808911 VISIT DATE: 05/06/2022 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32With the incident taking place, Program Director Hanadi Rousan scheduled an all staff meeting on 04/29/2022. This meeting addressed topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in child care settings. Another meeting regarding similar topics shall be scheduled later in the future. As a result of the incident, S1 was let go from the facility. LPA informed Ms. Garcia this incident shall be brought to

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 05/06/2022, Licensing Program Analyst (LPA) Robert Gutierrez met with Site Supervisor, Marcela Garcia for an unannounced case management incident inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident, reported to the Fresno Community Care Licensing (CCL) office. This incident occurred at the facility in playground on 04/26/2022 and was reported to the CCL office on 04/27/2022 after 5:00 PM. This incident involved a day-care child who fell and hit his head on the cement in the playground. While running in the playground sometime between 12:15 PM – 12:40 PM Child #1 (C1) fell onto the cement. Child #2 (C2) running after C1 fell on top him/her. Staff #1 (S1) was outside alone supervising eight children in care. S1 observed the incident take place and took C1 into the classroom. While in the classroom, S1 informed Staff #2 (S2) that C1 fell but, did not disclose that they fell on their head nor that a C2 fell on top of him/her. Being brought into the classroom, C1 mentioned his/her ear hurt. S2 accessed C1 for injuries pertaining to his/her ear but did not see any swelling or redness. S2 offered C1 a clean towel to clean his/her face. C1 then walked to his cot as it was a transition to nap. After a couple of minutes on the cot, C1 started to cry cupping his ear. S1 then gave a C1 an ice pack and the child fell asleep. C1 later woke up from the nap and for the remainder of the day kept to him/herself. It was at pick up at around 4:00 PM Ms. Garcia noticed a bump on the side of C1 head. It was at that moment the legal guardian of C1 was informed an injury occurred at the facility. C1 was taken home, but still complained about his/her head hurting. C1 was later taken to the hospital and was diagnosed with a head injury. C1 has been released from the hospital but still has not returned back to care. Continued on 809-C SUPERVISORS NAME: Susie Fanning LICENSING EVALUATOR NAME: Robert Gutierrez LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022 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 4 FACILITY NAME: FARMERSVILLE CHILD DEVELOPMENT CENTER FACILITY NUMBER: 543808911 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 05/06/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 05/06/2022 Section Cited CCR 101226(a) 1 2 3 4 5 6 7The licensee shall immediately notify the child's authorized representative if the child becomes ill or sustains an injury more serious than a minor cut or scratch. The licensee shall obtain specific instructions from the authorized representative regarding action to be taken. 1 2 3 4 5 6 7Director stated staff were in a meeting on 04/29/2022 and topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in childcare settings were addressed. LPA took a copy of timecards to verify staff were present when the meeting occurred. 8 9 10 11 12 13 14This requirement is not met as evidenced by interviews conducted during today’s inspection. LPA was informed, while at the center C1 sustained a head injury on 04/26/2022 between 12:15 PM – 12:40 PM. However, the legal guardian of C1 was not informed of the injury until pick up at around 4:00 PM. This poses as an immediate risk to the health, safety, or personal rights of children in care.8 9 10 11 12 13 14 1 2 3 4 5 6 71 2 3 4 5 6 7 1 2 3 4 5 6 71 2 3 4 5 6 7 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:Susie Fanning LICENSING EVALUATOR NAME:Robert Gutierrez LICENSING EVALUATOR SIGNATURE: DATE: 05/06/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/06/2022 FACILITY NAME: FARMERSVILLE CHILD DEVELOPMENT CENTERFACILITY NUMBER: 543808911 VISIT DATE: 05/06/2022 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32With the incident taking place, Program Director Hanadi Rousan scheduled an all staff meeting on 04/29/2022. This meeting addressed topics such as reporting requirements to CCL and legal guardians of children in care, staff supervision and safety in child care settings. Another meeting regarding similar topics shall be scheduled later in the future. As a result of the incident, S1 was let go from the facility. LPA informed Ms. Garcia this incident shall be brought to

Type A citation - immediate risk to health, safety, or personal rights

Type B citation - potential risk if not corrected