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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103906112
Report Date: 12/18/2019
Date Signed: 12/18/2019 12:41:56 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:THOMAS, JONNETTA FAMILY CHILD CAREFACILITY NUMBER:
103906112
ADMINISTRATOR:THOMAS, JONNETTAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 473-6259
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY:14CENSUS: 6DATE:
12/18/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Jonnetta Thomas - LicenseeTIME COMPLETED:
01:15 PM
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On 12/18/2019, Licensing Program Analyst (LPA) Joseph Pacheco, arrived at the family day care home to conduct a Case Management Incident inspection. LPA met with Licensee, Jonnetta Thomas to discuss an incident report submitted to Community Care Licensing regarding an incident that occurred in the family day care home on 12/12/2019. Licensee stated on this day Child #1 and Child #2 had an altercation. Child #1 started picking on Child #2 and started following Child #2 around the backyard and began to kick Child #2. Child #2 turned around and pushed Child #1 on the shoulder. Staff intervened and separated the two children. Licensee stated to LPA that the issue has been discussed with each child and the parents of both children. LPA discussed supervision at the time of the incident and it was determined that appropriate supervision was in place.

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

No deficiency cited at this visit.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
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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