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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808136
Report Date: 07/29/2024
Date Signed: 07/29/2024 12:43:29 PM


Document Has Been Signed on 07/29/2024 12:43 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:FRESNO EOC DAKOTA CIRCLE HEAD STARTFACILITY NUMBER:
103808136
ADMINISTRATOR:SUSAN MCDONALDFACILITY TYPE:
850
ADDRESS:4150 DAKOTATELEPHONE:
(559) 263-1205
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:175CENSUS: 30DATE:
07/29/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:SUSUAN MCDONALDTIME COMPLETED:
01:00 PM
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On 7/29/2024 Licensing Program Analyst (LPA), Stephanie Vega-Gonzalez conducted an unannounced case management inspection at facility. LPA walked into facility and made her way towards classroom #3 where Director, Susan McDonald's office is located. LPA introduced herself to staff in classroom #3 and introduced herself to the Director and explained the reason for the inspection. During this time LPA conducted a head count in room 3 and observed that children were transitioning from lunch to potty break to nap time. Director walked with LPA and a head count was conducted for classroom 3 and 4.

LPA observed that the children's restroom is connected to both classroom 3 and classroom 4. LPA observed that classroom 3 and classroom 4 have a door that leads to both classrooms.

The Department was called on 07/23/2024 regarding an incident that had occurred with Child 1 and Child 2 and Staff 1. The Department was informed that Staff 1 had left Child 1 and Child 2 unsupervised in the children's restroom for a duration of 2 minutes. Director and Staff 2 were both in Classroom 3 when they noticed Child 1 coming out of the restroom on Classroom 3's side. Director stated they observed another child in the restroom unsupervised. Director stated that they saw Staff 1 in Classroom #4. Director stated that training was conducted on 7/23/2024 with Staff 1. LPA obtained copies of documents on 7/29/2024.

LPA reviewed the following regulation with director. 101229 Responsibility for Providing Care and 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.

Exit interview conducted and report was reviewed with Director. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page).

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Stephanie Vega-GonzalezTELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:
DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/29/2024
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


Document Has Been Signed on 07/29/2024 12:43 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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


FACILITY NAME: FRESNO EOC DAKOTA CIRCLE HEAD START
FACILITY NUMBER: 103808136

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/29/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and 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.
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Director provided LPA on 7/29/2024 proof that they had conducted a training with Staff 1 regarding constant supervision. LPA obtained copies of the documents.
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This requirement was not met as evidenced by: Based on record review and interview. The Department was notified that Child 1 and Child 2 were left unsupervised by Staff 1 for approximately 2 minutes. This poses a potential risk to the health, safety, or personal rights of children.
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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: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Stephanie Vega-GonzalezTELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:
DATE: 07/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/29/2024
LIC809 (FAS) - (06/04)
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