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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801833
Report Date: 11/19/2019
Date Signed: 11/19/2019 09:32:04 AM

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:CARDEN SCHOOL OF FRESNOFACILITY NUMBER:
103801833
ADMINISTRATOR:MARTHA HERMAN ROLLINSFACILITY TYPE:
850
ADDRESS:6901 N MAPLE AVE, SUITE 1TELEPHONE:
(559) 323-0126
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY:30CENSUS: 14DATE:
11/19/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Matha Herman RolliTIME COMPLETED:
09:45 AM
NARRATIVE
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On this date, a Case Management incident inspection was conducted by Licensing Program Analysts (LPAs) Diane Mercado and Robert Gutierrez. LPAs met with Director Martha Rollins to discuss an incident report submitted to the Fresno Regional Office regarding an incident that occurred in the facility on October 24, 2019, where three daycare children were left unsupervised in the children’s restroom located inside the classroom.

Director stated on Thursday 10/24/2019, Teacher #1 and Director were caring for 12 napping children. Director stated that she had to use the restroom and left Teacher #1 caring for the 12 napping children. While using the staff restroom, Director overheard someone using the children's restroom located next to the staff restroom. The Director left the staff restroom and observed three daycare children inside the restroom with no teacher supervision. Child #1 and Child #2 were washing their hands and Child #3 was using the restroom. Director stated Teacher #1 did not witness Child #1, Child #2, or Child #3 get up from their cot to use the restroom.

Director stated that both the staff and children's restrooms are inside the classroom and that Child #1, Child #2, and Child #3 did not leave the building.

During today's inspection, LPAs interviewed staff regarding the unusual incident and confirmed the information reported to Community Care Licensing on Monday 10/28/2019. LPA's also reviewed the child's file and inspected the restroom where the children were left unsupervised. Per Director these children were left unsupervised in the restroom for one minute. Exit interview conducted with Director Martha Rollins.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiency is found: (see LIC809-D)

Appeal rights were provided. This report is to be made available to the public upon request. LIC 9224 Acknowledgement of receipt of licensing reports was provided.
LIC 9213 Notice of Site Visit to be posted for 30 day.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2019
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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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: CARDEN SCHOOL OF FRESNO
FACILITY NUMBER: 103801833
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/19/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/19/2019
Section Cited

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Supervision (a)The licensee shall provide care and supervision as necessary to meet the children’s needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by:
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Based on the incident review received on 10/28/2019 and interviews conducted during todays inspection it was determined three children were left unsupervised in the children's restroom. This poses as an immediate risk to the health, safety or personal rights of children in care.
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An all staff meeting was held on 11/01/2019 and 11/04/2019 regarding the incident and staff expectations on supervising children in care.

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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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:
DATE: 11/19/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/19/2019
LIC809 (FAS) - (06/04)
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