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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808949
Report Date: 05/21/2019
Date Signed: 05/21/2019 04:00:08 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:JASMINE NYREE EDUCATIONAL CENTER, THEFACILITY NUMBER:
153808949
ADMINISTRATOR:JEANETTE WILEYFACILITY TYPE:
840
ADDRESS:6800 DISTRICT BLVDTELEPHONE:
(661) 396-1800
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93313
CAPACITY:60CENSUS: 22DATE:
05/21/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jeanette Wiley - Director TIME COMPLETED:
04:10 PM
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On this date, Licensing Program Analyst (LPA) Jessika Thompson met with Director Jeanette Wiley for an unannounced case management inspection. LPA toured the facility and a census was taken. An Unusual Incident Report was recently submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on February 27, 2019, where a day-care child (Child #1) tried to leave the premises. The purpose of this inspection was to investigate the aforementioned occurrence. Today, LPA spoke with Director Wiley, who was present when the incident transpired. Director Wiley stated that the Child #1 was upset for personal reasons when she ran out of the front door of the facility. According to Director Wiley, herself and three additional staff members immediately followed the child out of the entry door, and proceeded attempting to calm the child down by using words of reassurance. Director Wiley stated that after about 20 minutes, the child came back inside with staff, who then blocked the door so that the child could not elope again. In addition, the child's mother was notified.

Director Wiley stated that the child is still in care and is doing well. As per Director Wiley, there has not been any subsequent unusual incidents involving Child #1, or any day-care child attempting to elope.

This appears to be an isolated incident and staff took appropriate measures to address occurrence, following appropriate Agency policies and reporting procedures.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today's visit.

An exit interview conducted with Director Wiley and a copy of this report was provided and discussed.

A Notice of Site Visit Form was posted on parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 05/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2019
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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