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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150408807
Report Date: 10/11/2022
Date Signed: 10/11/2022 08:03:35 PM

Document Has Been Signed on 10/11/2022 08:03 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:ST. JOHN'S CHILDREN CENTERFACILITY NUMBER:
150408807
ADMINISTRATOR:MOSLEY, CHERIFACILITY TYPE:
850
ADDRESS:4500 BUENA VISTA RD.TELEPHONE:
(661) 664-9127
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 144TOTAL ENROLLED CHILDREN: 144CENSUS: 105DATE:
10/11/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Cheri MosleyTIME COMPLETED:
03:15 PM
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On 10/11/2022, Licensing Program Analyst, (LPA) Theresa Marquez conducted a Case Management inspection and met with Director, Cheri Mosley. The purpose of this inspection is in regards to a self reported incident that occurred on 9/12/2022.

On 9/12/2022, Child #1 was playing around the sensory Lego table. Child #1 stood on top of a chair, jumped off the chair, and hit his left pinky finger on the corner of a second sensory Lego table. Teacher A witnessed child #1 jump off the chair. The child continued to play and it wasn't until the child went inside he was observed holding his left hand. Teacher B inspected the child's finger and did not observe any visual injuries.
When child #1 was picked up from day-care by his father, the child began to cry while being put into their vehicle. The child was taken to his primary Dr. and x-rays revealed the child's pinky finger was fractured. A stint was placed on the child's finger on 9/14/22. Child #1 remained at home and returned to the center on 9/19/2022.

LPA Marquez discussed with Mosley supervision at the time of the incident. LPA Marquez recommended to Mosley when a child is injured it is staff responsibility to monitor the child instead of waiting for the child to complain of pain.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations no deficiencies were observed today.

Exit interview was conducted with Director Cheri Mosley. LPA provided Mosley with a copy of the Facility Evaluation Report (LIC 809), and the Notice of Site Visit form (LIC 9213). The LIC 9213 is required to be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2022
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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