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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801391
Report Date: 05/01/2019
Date Signed: 05/01/2019 02:06:16 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:GLENWOOD MIGRANT HEAD STARTFACILITY NUMBER:
153801391
ADMINISTRATOR:GAMINO, LORENAFACILITY TYPE:
850
ADDRESS:625 14TH AVENUETELEPHONE:
(661) 720-9550
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY:92CENSUS: 62DATE:
05/01/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Lorena GaminoTIME COMPLETED:
02:30 PM
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Licensing Program Analysts (LPAs) Gloria Reyes and Angelica Slaughter met with Site Supervisor, Lorena Gamino, for an unannounced case management inspection - incident. A tour of the facility was conducted inside and outside. An Unusual Incident Report was submitted to Fresno Community Care Licensing, regarding a day-care child who was bit by another child on the chest on the right side above the nipple area. The incident took place in the classroom where a staff observed the incident. Director Gamino stated that the bitter is non-verbal and wanted the toy the other child was playing with. This staff immediately applied an ice pack and a bandage. The parent was contacted. Director Gamino met with the parent and provided information on “How to Help Your Child Stop Biting”. The facility will be working with the parents and the child to prevent further biting incidents. In addition, the staff will continue to monitor the child to ensure no further re-occurrence of biting takes place and staff will continue to follow their “Biting and Procedure Policy. This appears to be an isolated incident and staff took appropriate measures to address the child's injury following appropriate agency policies and procedures.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today's visit.

An exit interview conducted with Site Supervisor, Lorena Gamino and a copy of this report was provided and discussed. A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Gloria ReyesTELEPHONE: (559) 341-4471
LICENSING EVALUATOR SIGNATURE:

DATE: 05/01/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2019
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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