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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801904
Report Date: 12/05/2019
Date Signed: 12/05/2019 03:11:32 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:MARTHA J. MORGAN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801904
ADMINISTRATOR:FLORATOS, ANGELAFACILITY TYPE:
850
ADDRESS:3811 RIVER BLVDTELEPHONE:
(661) 873-2262
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93305
CAPACITY:55CENSUS: 16DATE:
12/05/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Angela Floratos, Site SupervisorTIME COMPLETED:
03:30 PM
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A case management inspection was conducted today by Licensing Program Analyst, Pete Espinoza. LPA met with, Angela Floratos, Site Supervisor, to discuss incident which occurred on 10/11/2019. A complete file review was conducted prior to visit. LPA toured facility inside and outside. Census was taken. LPA interviewed staff and observed area in which incident occurred.

Staff stated they were in play yard with approximately 20 children and three (3) staff. Staff stated she was working with two children at a table when she observed two other children riding double seated trike on bike path. Staff stated when one child put trike in reverse, the trike fell to one side. Staff stated one of the children told her his arm was hurting. Staff stated child was given an ice pack. Staff stated she observed a small scrape on the other child. Staff stated both children were brought inside and first aid was applied. Staff stated one child continued to complain about his arm hurting and they called parent. Staff stated parent did not answer phone. Staff stated mom returned call after lunch and child was sleeping so she decided to pick him up at end of day. Staff stated child seemed OK when mom picked him up at end of the day. Staff stated the incident happened on a Friday (10/11) and child did not return to facility on Monday (10/14). Staff stated they did not hear from mom and conducted home visit on 11/15 to follow-up and observed child's right arm in cast. Staff stated when questioned, mom said she took child to urgent care on Sunday (10/13) and to orthopedic doctor on Monday (10/14). Staff stated mom told them child would return to center the following day (10/16). Staff provided copies of doctor's release and case notes completed by Family Service Worker.

Teacher-Child ratio was reportedly in place when the incident took place. Based on the information obtained, this appears to be an isolated incident and Staff took appropriate measures to address the child's injury, following proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with the Angela Floratos, Site Supervisor.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
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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