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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808557
Report Date: 01/06/2020
Date Signed: 01/06/2020 11:49:33 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:SMALL WONDERS PRESCHOOL/THE ROCKFACILITY NUMBER:
153808557
ADMINISTRATOR:ROGOWSKI, LORIFACILITY TYPE:
830
ADDRESS:4800-C FRUITVALE AVENUETELEPHONE:
(661) 387-6363
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93308
CAPACITY:7CENSUS: 7DATE:
01/06/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Lori RogowskiTIME COMPLETED:
12:00 PM
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On 01/06/2020, at approximately 10:40 AM, Licensing Program Analyst (LPA) Candis Rodriguez conducted a case management inspection regarding an incident which occurred on 12/16/2019. LPA met with Director Lori Rogowski and took a tour of the facility and a census. LPA observed seven (7) infants with two staff. On 12/16/2019, facility reported an incident involving an infant, Child #1, who's arm had been dislocated.

On 12/30/2019, LPA contacted Child #1’s mother by telephone. Child #1’s mother stated when Child #1 was brought to the doctor, the doctor stated it is a common injury in infants where the joint is dislocated. Child #1’s mother stated the doctor put Child #1’s arm back in place and told her nothing else needed to be done. Child #1's mother stated Child #1 has had no further issues. Child #1’s mother stated this had happened to her before as an infant as well. Child #1’s mother stated child went back to facility after being seen by the doctor, and continues attending the facility.

On 01/06/2019, at 11:00AM, LPA interviewed Teacher #1. Teacher #1 stated on the date of the incident, she noticed Child #1 playing with mattress tags on the crib. Teacher #1 stated she redirected Child #1 by placing her hands on his arms and moving him away from the crib. Teacher #1 stated Child #1 began crying and did not stop. Teacher #1 stated she knew something was wrong because he does not normally continue crying like that. Teacher #1 stated another staff immediately called Child #1’s emergency contact, but Teacher #1 was not sure who this staff was that called.

On 01/06/2019, at 11:15 AM, LPA interviewed Director. Director stated Teacher #2, who was not in the room to witness the incident, was the staff who called Child #1’s emergency contact. Child #1’s emergency contact immediately picked up Child #1 and took Child #1 to the doctor. Director stated there have been no issues since the date of the incident. Director also stated facility did not receive a medical report from Child #1’s authorized representatives.

Based on information obtained from interviews with witnesses and involved parties, Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are cited. Site Visit Notice posted on the parent board. Exit interview was conducted.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 01/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/06/2020
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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