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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808806
Report Date: 01/28/2022
Date Signed: 02/11/2022 04:28:45 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:EDISON PRESCHOOLFACILITY NUMBER:
153808806
ADMINISTRATOR:ANDREWS, ERICAFACILITY TYPE:
850
ADDRESS:1036 VINELAND ROADTELEPHONE:
(661) 363-5394
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:152CENSUS: 46DATE:
01/28/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Site Supervisor, Rosalva BanuelosTIME COMPLETED:
01:30 PM
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On 1/28/2022, Licensing Program Analyst (LPA) Stefanie Galvan conducted an unannounced Case Management inspection. LPA met with Site Supervisor (SS), Rose Banuelos. LPA Galvan and Rose toured the facility, and took a census. The purpose of today’s inspection was to discuss an incident that was reported to Community Care Licensing (CCL) on 1/26/2022, where Child 1 was reported to have been forced to nap by Staff 1. Staff 2 is the person who reported to SS. This incident was reported to have occurred in Classroom 1.

LPA spoke to SS regarding the incident. Staff 1, has been put on Paid Administrative Leave effective 1/27/2022. This school district will move forward with an internal investigation of this incident. SS stated that the school's legal team has advised her not to talk to any other employees or to the alleged staff member about anything that has been reported to her. An interview regarding the events which were reported to have taken place was conducted between LPA and SS.

Staff 2 was interviewed and given the opportunity to detail what she saw while in the classroom with Staff 1.

Staff 3 was also interviewed and given the opportunity to detail what she saw while in the classroom with Staff 1 and Staff 2.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, no deficiencies are is found.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Stefanie GalvanTELEPHONE: (559) 341-5431
LICENSING EVALUATOR SIGNATURE:

DATE: 01/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022
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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