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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808556
Report Date: 09/19/2024
Date Signed: 09/19/2024 12:49:55 PM


Document Has Been Signed on 09/19/2024 12:49 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:SMALL WONDERS PRESCHOOL/THE ROCKFACILITY NUMBER:
153808556
ADMINISTRATOR:ROGOWSKI, LORIFACILITY TYPE:
850
ADDRESS:4800-C FRUITVALE AVENUETELEPHONE:
(661) 387-6363
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:280CENSUS: 147DATE:
09/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Vanessa BryantTIME COMPLETED:
01:00 PM
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On 09/19/2024, Licensing Program Analyst (LPA), Christopher Burnias met with Interim Director, Vanessa Bryant for an unannounced Case Management incident inspection. LPA toured the facility inside and out, and a census was taken. The purpose of today's inspection was to address an unusual incident reported to the Fresno Community Care Licensing (CCL) office.

LPA interviewed Staff 1 (S1) who was present during the incident. According to S1, on 08/13/24 Child 1 (C1) (2 years old) tripped, fell, and broke their left arm during recess.

According to S1, they were outside with 11 children at the play structure during recess. S1 was standing approximately 8 feet away from the play structure talking to the child who was standing next to the bottom of the slide of the play structure. S1 stated she observed C1 turn to their left, trip on the bottom of the slide of the play structure and fall with their arms extended to brace their fall.

S1 stated that they observed the child attempt to get up on their own and when C1 put their weight on their left arm, C1 began to scream and cry. S1 stated that they realized C1 was hurt and looked at C1's arm. S1 stated that C1's left forearm appeared to be broken and had a visible bulge in the middle of their forearm.

S1 stated that another class (2 teachers and their students) was coming outside for recess and S1 asked if the teachers could watch their class while they took C1 inside to further treat the injury. S1 stated that they ensured the teachers were within ratio requirements prior to going inside with C1.

S1 stated that C1's parents were contacted and informed of the incident but were out of the country. C1's parents advised staff to contact C1's grandmother to pick up C1.

**Continued on LIC 809C**

SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Christopher BurniasTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: SMALL WONDERS PRESCHOOL/THE ROCK
FACILITY NUMBER: 153808556
VISIT DATE: 09/19/2024
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S1 stated that they placed an ice pack on C1's arm and propped C1's arm on a pillow while they waited for C1's grandmother to pick them up.

According to S1, C1's grandmother informed staff that C1 was taken to Urgent Care and also to the E.R. where X-rays were taken and showed that C1 had a broken left arm.

Based on observation of the facility, LPA determined that no hazards were present in outdoor play area and that proper supervision was provided.

Based on the information obtained by interview, LPA determined that the facility took appropriate measures to assess the child's injury, and reporting requirements were met. Facility followed proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited during today's visit. An exit interview was conducted with Interim Director, Vanessa Bryant, and appeal rights were provided.
SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Christopher BurniasTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
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