FRESNO EOC MENDOTA HEAD START

Type B citation from complaint investigation - 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 05/09/2025, Licensing Program Analyst (LPA) David Rocha and Licensing Program Manager (LPM) Kari McWilliams conducted an unannounced case management incident inspection and met with Director Guadalupe Nunez. LPA explained the purpose of the inspection. LPA and LPM toured the facility and a census was taken. The purpose of today's inspection was to follow up on an unusual incident that was reported to the Fresno Regional Office on 05/06/2025. The incident reportedly occurred at the facility on 05/01/2025 where child #1 (C1) was overfed and S1 was being held during circle time on a staff’s lap. During todays inspection LPA and LPM conducted staff interviews and child file review. During the interviews it was confirmed by 4 staff interviews Staff #1(S1) and Staff #2 (S2) reported that C1 threw up and was sent home for the rest of the day and the following day. Through LPA’s interviews it was not confirmed if C1 actually threw up, as no other staff witnessed or saw proof of, but S1 and S2 did not want C1 present the following day for a CLASS observation occurring the following day, 5/2/2025. Through staff interviews it was also confirmed that C1 was observed being restrained by S1 on their lap and would hold their arms around C1 so that they would not move, through staff interviews LPA was able to confirm that this occurred during multiple times during the day; circle time as well as station time. Based on staff interviews LPA was able to confirm that these incidents occurred. Per Title 22 Division 12 Chapter 1 of the California Code of Regulations, the facility violated the following Regulation; 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (Continued on 809-C) NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams NAME OF LICENSING PROGRAM ANALYST: David Rocha LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2025 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 4 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 granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if

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 05/09/2025, Licensing Program Analyst (LPA) David Rocha and Licensing Program Manager (LPM) Kari McWilliams conducted an unannounced case management incident inspection and met with Director Guadalupe Nunez. LPA explained the purpose of the inspection. LPA and LPM toured the facility and a census was taken. The purpose of today's inspection was to follow up on an unusual incident that was reported to the Fresno Regional Office on 05/06/2025. The incident reportedly occurred at the facility on 05/01/2025 where child #1 (C1) was overfed and S1 was being held during circle time on a staff’s lap. During todays inspection LPA and LPM conducted staff interviews and child file review. During the interviews it was confirmed by 4 staff interviews Staff #1(S1) and Staff #2 (S2) reported that C1 threw up and was sent home for the rest of the day and the following day. Through LPA’s interviews it was not confirmed if C1 actually threw up, as no other staff witnessed or saw proof of, but S1 and S2 did not want C1 present the following day for a CLASS observation occurring the following day, 5/2/2025. Through staff interviews it was also confirmed that C1 was observed being restrained by S1 on their lap and would hold their arms around C1 so that they would not move, through staff interviews LPA was able to confirm that this occurred during multiple times during the day; circle time as well as station time. Based on staff interviews LPA was able to confirm that these incidents occurred. Per Title 22 Division 12 Chapter 1 of the California Code of Regulations, the facility violated the following Regulation; 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (Continued on 809-C) NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams NAME OF LICENSING PROGRAM ANALYST: David Rocha LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2025 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 4 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 granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if

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 05/09/2025, Licensing Program Analyst (LPA) David Rocha and Licensing Program Manager (LPM) Kari McWilliams conducted an unannounced case management incident inspection and met with Director Guadalupe Nunez. LPA explained the purpose of the inspection. LPA and LPM toured the facility and a census was taken. The purpose of today's inspection was to follow up on an unusual incident that was reported to the Fresno Regional Office on 05/06/2025. The incident reportedly occurred at the facility on 05/01/2025 where child #1 (C1) was overfed and S1 was being held during circle time on a staff’s lap. During todays inspection LPA and LPM conducted staff interviews and child file review. During the interviews it was confirmed by 4 staff interviews Staff #1(S1) and Staff #2 (S2) reported that C1 threw up and was sent home for the rest of the day and the following day. Through LPA’s interviews it was not confirmed if C1 actually threw up, as no other staff witnessed or saw proof of, but S1 and S2 did not want C1 present the following day for a CLASS observation occurring the following day, 5/2/2025. Through staff interviews it was also confirmed that C1 was observed being restrained by S1 on their lap and would hold their arms around C1 so that they would not move, through staff interviews LPA was able to confirm that this occurred during multiple times during the day; circle time as well as station time. Based on staff interviews LPA was able to confirm that these incidents occurred. Per Title 22 Division 12 Chapter 1 of the California Code of Regulations, the facility violated the following Regulation; 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (Continued on 809-C) NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams NAME OF LICENSING PROGRAM ANALYST: David Rocha LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2025 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 4 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 granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if

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

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 05/09/2025, Licensing Program Analyst (LPA) David Rocha and Licensing Program Manager (LPM) Kari McWilliams conducted an unannounced case management incident inspection and met with Director Guadalupe Nunez. LPA explained the purpose of the inspection. LPA and LPM toured the facility and a census was taken. The purpose of today's inspection was to follow up on an unusual incident that was reported to the Fresno Regional Office on 05/06/2025. The incident reportedly occurred at the facility on 05/01/2025 where child #1 (C1) was overfed and S1 was being held during circle time on a staff’s lap. During todays inspection LPA and LPM conducted staff interviews and child file review. During the interviews it was confirmed by 4 staff interviews Staff #1(S1) and Staff #2 (S2) reported that C1 threw up and was sent home for the rest of the day and the following day. Through LPA’s interviews it was not confirmed if C1 actually threw up, as no other staff witnessed or saw proof of, but S1 and S2 did not want C1 present the following day for a CLASS observation occurring the following day, 5/2/2025. Through staff interviews it was also confirmed that C1 was observed being restrained by S1 on their lap and would hold their arms around C1 so that they would not move, through staff interviews LPA was able to confirm that this occurred during multiple times during the day; circle time as well as station time. Based on staff interviews LPA was able to confirm that these incidents occurred. Per Title 22 Division 12 Chapter 1 of the California Code of Regulations, the facility violated the following Regulation; 101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (Continued on 809-C) NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams NAME OF LICENSING PROGRAM ANALYST: David Rocha LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/09/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/09/2025 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 4 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 granted an extension of the correction due date by the licensing agency. CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if