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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808616
Report Date: 10/06/2023
Date Signed: 10/06/2023 11:40:40 AM

Document Has Been Signed on 10/06/2023 11:40 AM - 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808616
ADMINISTRATOR:LORENA PALOMOFACILITY TYPE:
830
ADDRESS:17213 CENTRAL VALLEY HWYTELEPHONE:
(805) 544-4355
CITY:SHAFTERSTATE: CAZIP CODE:
93263
CAPACITY: 17TOTAL ENROLLED CHILDREN: 17CENSUS: 0DATE:
10/06/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Adriana Barron and Angela RicoTIME COMPLETED:
11:45 AM
NARRATIVE
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On 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Office. In attendance at this meeting was Program Director Adriana Barron, Area Manager Angela Rico, Licensing Program Analyst (LPA) Ruby Ocegueda and Licensing Program Manager (LPM) Susie Fanning. The purpose of today's meeting was to discuss the violation of Title 22 Regulations. The following issue/violation was discussed:

Type A Deficiency:
· 9/12/2023 –The facility was cited a type A violation under regulation 101223 (a)(2) to address Personal Rights of children in care. On 9/5/2023, the facility contacted the Department to self-report an incident that involved a staff accidentally dropping an infant from the changing table after a diaper change. The incident occurred on 9/5/2023. On 9/12/2023, LPA conducted interviews of the staff and confirmed that although deemed accidental, the staff did not ensure the safety and personal rights of the infant.

Today, Program Director Barron and LPM Fanning discussed the steps the facility has taken to prevent this situation from occurring again which includes training existing staff and newly hired staff on diapering policies and infant care. LPM Fanning reviewed the Department conducting increased visits/inspections to help ensure compliance with Title 22 regulations.

Program Director Barron was informed that childcare training videos are available on the Community Care Licensing Division's website at www.ccld.ca.gov.

Program Director Barron was reminded that facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Director Barron.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2023
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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