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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801329
Report Date: 09/27/2023
Date Signed: 09/27/2023 12:09:04 PM


Document Has Been Signed on 09/27/2023 12:09 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:KINDERCARE LEARNING CENTER, #1015FACILITY NUMBER:
103801329
ADMINISTRATOR:AVALOS, TASHAFACILITY TYPE:
850
ADDRESS:1785 VILLA DRIVETELEPHONE:
(559) 297-1888
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY:72CENSUS: 60DATE:
09/27/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Tasha Avalos TIME COMPLETED:
12:20 PM
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On 09/27/23, Licensing Program Analyst (LPA) Denisia Jimenez and Licensing Program Manager (LPM) Juvenal Moctezuma arrived at the facility to conduct an unannounced Case Management inspection. LPA and LPM met with Director, Tasha Avalos. LPA and LPM toured the facility, and a census was taken. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 09/07/23 regarding a child’s personal rights being violated. Director, Child, and Staff were interviewed.

Incident occurred at the facility where a child was alleging that staff had pushed them during nap time. Interviews were conducted with staff & child and records were obtained which indicated that this was an isolated incident. It was revealed that it was an accident since staff had tripped along with child on a cot during naptime. Director indicated that she conducted a personal rights training on September 19, 2023, and reminded staff to report any incident pertaining children to her. A copy of the police report will be requested as well. LPA & LPM observed the classroom and reminded staff to ensure that the cots are not touching one another and there is enough space for staff to walk through to prevent any tripping accidents.

This appears to be an isolated incident and staff took appropriate measures to address the staff, following appropriate policies, regulations, and reporting requirements.



Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Denisia JimenezTELEPHONE: (559) 767-0718
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2023
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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