100405169-1-24-2020-04-CC-AMEA-BL5UZF-20200124150128

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100405169
Report Date: 01/24/2020
Date Signed: 01/24/2020 03:01:35 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:	PARKWEST INFANT & PRESCHOOL CENTER		FACILITY NUMBER:	100405169
ADMINISTRATOR:	ELSIE GAITAN		FACILITY TYPE:	850
ADDRESS:	2495 W. ALAMOS		TELEPHONE:	(559) 229-1104
CITY:	FRESNO	STATE: CA	ZIP CODE:	93705
CAPACITY:	35	CENSUS: 17	DATE:	01/24/2020
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:	Site Supervisor, Elsie Gaitan		TIME COMPLETED:	03:15 PM

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	Licensing Program Analyst (LPA) Angelica Mejia conducted a case management inspection today. The purpose of today's visit was to further investigate an incident which occurred on 12/12/2019 at approximately 11:10 AM. LPA met with Site Supervisor Elsie Gaitan. LPA toured the facility inside and outside and a census was taken. LPA spoke with staff regarding the incident on 12/12/2019. Site Supervisor stated that Teacher Yer Xiong was supervising 23 children in the play area along with one other teacher. A third teacher was assisting a child in the bathroom at the time of the incident. Site Supervisor stated that facility staff uses assigned zones when supervising children in the play area and shift the zones as children play throughout the playground. Teacher Yer stated Child #1 was playing on the play structure with other children when she heard Child #1 crying. Teacher Yer turned towards the crying and saw Child #1 with their right hand holding on to the railing, their upper body was over the top of a step while their lower body was below the step. Teacher Yer picked-up Child #1 and carried them off the structure to a table nearby. Teacher Yer checked Child #1 for marks or injuries but did not observe anything unusual. Teacher Yer stated Child #1 is non-verbal and could not describe what happened or where there might be an injury. Teacher Yer was sent to break and Child #1 was still crying, so Teacher Elsie took over with Child #1 and brought the child inside to comfort them while their mother was called to pick them up. Site Supervisor stated Child #1 was favoring their right arm so she suggested to Child #1’s mother that they should be seen by their doctor. Site Supervisor called Child #1’s mother that evening to follow-up on their condition and Child #1’s mother told her the right elbow was fractured and a cast would be put on it the next day. Child #1 returned to the facility on 12/16/19 without a cast. Site Supervisor stated Child #1’s mother said the injury was misdiagnosed and the child was taken to Valley Children’s Hospital where Child #1 was diagnosed with Nursemaid’s elbow and the bone was adjusted back in place by the doctor. (Continued on LIC809-C)

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica Mejia	TELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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

FACILITY NAME: PARKWEST INFANT & PRESCHOOL CENTER	FACILITY NUMBER: 100405169
	VISIT DATE: 01/24/2020

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
32

Child #1 returned to the facility with no restrictions or limitations. Site Supervisor stated that staff took precautions the week of Child #1’s return to make sure they didn’t play too rough to avoid another injury to the arm. Site Supervisor stated Child #1 plays normally and does not exhibit any problems with the injured elbow since returning to the facility.

LPA inspected the area of the play structure where the incident occurred and the complete play structure for any hazards. LPA did not observe any defects or areas of concern on the play structure. Child #1 was present and napping while LPA was at the facility. Site Supervisor continues to work with the children regarding safety rules while on the playground. She reminds them to be mindful of others while playing. The staff maintains ratio and assigns zones to each staff member while on the playground with children present.

No deficiencies were noted.

BASED UPON INFORMATION THAT WAS OBTAINED FROM THE FACILITY STAFF, IT IS DETERMINED THAT THERE WERE NO VIOLATIONS OF THE CCL REGULATIONS. NO FURTHER ACTION IS REQUIRED AT THIS TIME.

Site Visit Notice posted. Exit interview was conducted.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica Mejia	TELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2