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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808862
Report Date: 07/28/2023
Date Signed: 07/28/2023 10:53:00 AM


Document Has Been Signed on 07/28/2023 10:53 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:EAST CALIFORNIA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808862
ADMINISTRATOR:DUGUM, ALIAFACILITY TYPE:
850
ADDRESS:1900 E. CALIFORNIA AVENUETELEPHONE:
(661) 578-6870
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY:52CENSUS: DATE:
07/28/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Alia DogumTIME COMPLETED:
11:00 AM
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On this date 07/28/2023, Licensing Program Analyst (LPA) Adrian Pizano conducted an unannounced Case Management inspection. LPA met with Director Alia Dugum, 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 07/11/2023.

Director stated that on 07/07/2023, Child 1 was dancing in the play area during music time when Child 1 lost Child 1's balance and fell face first into the bookcase. During the fall, Child 1 struck Child 1’s mouth on a bookcase resulting in a cut near Child 1’s mouth. Teacher Sandra consoled the child and cleaned the would. First aid was administered and Child 1’s parent was notified. Parent sought medical attention for the child and one tooth needed to be extracted and two were cracked. Child 1 was released and returned to care on 07/11/2023. LPA discussed supervision at the time of the incident, and it was determined that appropriate supervision was in place. Staff will continue to remind children not to run inside the classroom. LPA inspected the area where the incident took place and did not observe any safety hazards or areas of concern.

LPA spoke with teacher Sandra Fuentes and Guadalupe Elyza separately. Both teachers provided the same information regarding the incident, that the Child 1 was dancing and lost Child 1's balance falling face first into the bookshelf, resulting in the injury.

This appears to be an isolated incident and staff took appropriate measures to address the child’s injury, following appropriate policies, regulations, and reporting requirements.

No deficiencies cited during today’s inspection.

A copy of this report to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Adrian PizanoTELEPHONE: (559) 977-8435
LICENSING EVALUATOR SIGNATURE:
DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/28/2023
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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