WM. R. BUCKLEY ELEMENTARY STATE PRESCHOOL

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

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 03/08/2022, a case management inspection was conducted by Licensing Program Analyst, Pete Espinoza (LPA). LPA met with, Kristi Bean, Site Supervisor, to discuss incident which occurred on 02/23/2022. A complete file review was conducted prior to visit. LPA toured facility inside and outside. Census was taken. LPA interviewed staff and observed area in which incident occurred. Staff stated there were three (3) staff supervising 16 children in outside play area. Staff stated when coming into classroom from play area, child hid behind a large pillar when lining up to come inside. Staff stated they brought children inside classroom and did not realize child was left alone in play area for less than two (2) minutes. Staff stated they informed parent of incident and notified Fresno Regional Office, via telephone. California Code of Regulations, Title 22, Division 12, Chapter (1/3), are being cited on the attached LIC 9099D. An exit interview was conducted with Kristi Bean, Site Supervisor, a plan of correction was discussed, and appeal rights were explained. A printed copy of this report as well as a printed copy of the appeal rights was provided at the conclusion of the visit. Notes: * Any Licensing reports indicating a Type A deficiency shall be posted immediately and for the next 30 days and copies provided of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months 1596.8595(c). Health & Safety Section 1596.859(a) shall be cited and a civil penalty of $100.00 for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (LIC 9224). LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. To order forms, etc. visit our website at www.ccld.ca.gov. SUPERVISORS NAME: Diana deLeon LICENSING EVALUATOR NAME: Peter Espinoza LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2022 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 2 FACILITY NAME: WM. R. BUCKLEY ELEMENTARY STATE PRESCHOOL FACILITY NUMBER: 543808579 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/08/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 03/11/2022 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7Responsibility for Providing Care and Supervision: No child shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement is not met as evidenced by interviews with staff conducted during today’s inspection/. 1 2 3 4 5 6 7Staff will send plan indicating procedures to be used to ensure supervision at all times, when children leave classroom, play in outside play area and return to classroom from outside play area. Staff will send plan to Fresno Regional Office by 03/11/2022. 8 9 10 11 12 13 14Staff stated a child was left in outside play area alone for less than two (2) minutes. This poses 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:Diana deLeon LICENSING EVALUATOR NAME:Peter Espinoza LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2022

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 03/08/2022, a case management inspection was conducted by Licensing Program Analyst, Pete Espinoza (LPA). LPA met with, Kristi Bean, Site Supervisor, to discuss incident which occurred on 02/23/2022. A complete file review was conducted prior to visit. LPA toured facility inside and outside. Census was taken. LPA interviewed staff and observed area in which incident occurred. Staff stated there were three (3) staff supervising 16 children in outside play area. Staff stated when coming into classroom from play area, child hid behind a large pillar when lining up to come inside. Staff stated they brought children inside classroom and did not realize child was left alone in play area for less than two (2) minutes. Staff stated they informed parent of incident and notified Fresno Regional Office, via telephone. California Code of Regulations, Title 22, Division 12, Chapter (1/3), are being cited on the attached LIC 9099D. An exit interview was conducted with Kristi Bean, Site Supervisor, a plan of correction was discussed, and appeal rights were explained. A printed copy of this report as well as a printed copy of the appeal rights was provided at the conclusion of the visit. Notes: * Any Licensing reports indicating a Type A deficiency shall be posted immediately and for the next 30 days and copies provided of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months 1596.8595(c). Health & Safety Section 1596.859(a) shall be cited and a civil penalty of $100.00 for failure to provide copies to parents/guardians of children in care and newly enrolled children, and for failure to maintain written verification of receipt of licensing reports indicating a Type A violation (LIC 9224). LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS. To order forms, etc. visit our website at www.ccld.ca.gov. SUPERVISORS NAME: Diana deLeon LICENSING EVALUATOR NAME: Peter Espinoza LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2022 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2022 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 2 FACILITY NAME: WM. R. BUCKLEY ELEMENTARY STATE PRESCHOOL FACILITY NUMBER: 543808579 DEFICIENCY INFORMATION FOR THIS PAGE: VISIT DATE: 03/08/2022 Deficiency Type POC Due Date / Section NumberDEFICIENCIESPLAN OF CORRECTIONS(POCs) Type A 03/11/2022 Section Cited CCR 101229(a)(1) 1 2 3 4 5 6 7Responsibility for Providing Care and Supervision: No child shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement is not met as evidenced by interviews with staff conducted during today’s inspection/. 1 2 3 4 5 6 7Staff will send plan indicating procedures to be used to ensure supervision at all times, when children leave classroom, play in outside play area and return to classroom from outside play area. Staff will send plan to Fresno Regional Office by 03/11/2022. 8 9 10 11 12 13 14Staff stated a child was left in outside play area alone for less than two (2) minutes. This poses 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:Diana deLeon LICENSING EVALUATOR NAME:Peter Espinoza LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2022 I acknowledge receipt of this form and understand my appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2022