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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808459
Report Date: 09/23/2021
Date Signed: 09/23/2021 11:09:51 AM

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:OUR LADY OF PERPETUAL HELP PRESCHOOLFACILITY NUMBER:
153808459
ADMINISTRATOR:REBUCK, NICOLEFACILITY TYPE:
850
ADDRESS:124 COLUMBUS STREETTELEPHONE:
(661) 327-7741
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93305
CAPACITY:40CENSUS: 17DATE:
09/23/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Theresa AramanteTIME COMPLETED:
11:15 AM
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On 09/23/21 Licensing Program Analyst (LPA) Araceli Gibson conducted an unannounced case management incident inspection a census of 17 children was taken. LPA met with Director Theresa Aramante and toured the facility. LPA followed up on an incident that was reported to CCL in 08/31/21. The incident involved an injury to a preschool child. On 08/31/21 a child was getting off the changing table onto some wooden stairs but lost his balance. The child missed the last two steps of the stairs and fell hitting his forehead on the tile floor. The child was assessed by a doctor and was able to return back to preschool the very next day. LPA discussed the incident with the director regarding preventative safeguards to reduce the risk of future incidents. LPA observed the stairs to be sturdy, and stable, however there is no railing for support. LPA and director discussed training for staff and children with pictures demonstrating safety when changing table is in use. Holding children’s hand while walking down the steps or lifting children up or down. Director plans to request padding for the handicap bar and a portion of the wall adjacent to the stairs. No padding for the floor as it could be a tripping hazard. The facility was providing adequate supervision during the incident, notified authorized representatives, called 911, and properly documented the incident with Community Care Licensing.

No deficiencies were issued for today's visit.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Araceli GibsonTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
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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