100401284-3-6-2020-04-CC-AMEA-BMG2TF-20200306164040

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100401284
Report Date: 03/06/2020
Date Signed: 03/06/2020 04:40:43 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	KIDS KARE AT THE PARKS		FACILITY NUMBER:	100401284
ADMINISTRATOR:	TONYA MOREHEAD		FACILITY TYPE:	850
ADDRESS:	4111 N. FRUIT		TELEPHONE:	(559) 224-9471
CITY:	FRESNO	STATE: CA	ZIP CODE:	93705
CAPACITY:	70	CENSUS: 28	DATE:	03/06/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Director, Tonya Morehead		TIME COMPLETED:	05:00 PM

NARRATIVE

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On 03/06/2020, Licensing Program Analyst (LPA) Angelica Mejia conducted an unannounced case management inspection. LPA met with Director (D) Tonya Morehead and Assistant Director (AD) Tanisha Ricks and a census was taken. The purpose of today’s inspection was to follow up on a self reported incident that occurred at the facility on 03/03/2020 during which Child #1’s Grandmother spoke to AD while dropping off Child #1. Grandmother alleged Child #1 received bruises on their bottom from diapering on 03/02/2020 while at the facility.

During today’s inspection, LPA Mejia interviewed staff in order to obtain further information regarding the incident. Staff #3 did not observe any bruising on Child #1 when changing the child on 03/02/2020. Staff #3 stated Child #1’s skin is sensitive and has had red “patches” on the upper right thigh for a few months. Staff #3 stated Child #1 does not have any behavioral issues during diapering and is easy to change. Staff #4 was not present at the facility for interviewing during the inspection. LPA obtained a copy of a signed statement from Staff #4 stating that she did not see any marks on Child #1 while diapering on 03/02/2020. Staff #2 stated Child #1 did not have any falls or injuries on 03/02/2020 that staff was aware of.

LPA inspected the changing area, which is a large flat surface with raised sides and is covered with a padded cushion. LPA observed the changing area to be clean and free of hazards that might cause injuries. Information obtained revealed the facility took appropriate measures in documenting the incident and reporting the incident to the Department.

Per California Code of Regulations Title 22 Division 12 Chapter 1, no deficiency was cited today. An exit interview was conducted with Director Tonya Morehead and a copy of this report was provided and discussed.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

NOTICE OF SITE VISIT (LIC9213) IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica Mejia	TELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020

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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