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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153809002
Report Date: 08/17/2022
Date Signed: 08/17/2022 03:10:03 PM


Document Has Been Signed on 08/17/2022 03:10 PM - 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:LITTLE COUNTRY CHRISTIAN SCHOOLFACILITY NUMBER:
153809002
ADMINISTRATOR:JARRETT, REBECCAFACILITY TYPE:
850
ADDRESS:2408 DEAN AVETELEPHONE:
(661) 589-0501
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:93CENSUS: 58DATE:
08/17/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Rebecca JarrettTIME COMPLETED:
03:15 PM
NARRATIVE
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On 8/17/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted a Case Management inspection and met with Director Rebecca Jarrett, Assistant Director Dawn Jones and Teacher Alyssa Barela.

The purpose of this inspection is in regards to a self reported incident that occurred on 7/27/2022 at about 8:45AM. Two teachers were outside with 19 children when a child, under the age of 3 years was playing in the play area restricted to 3 years and over. The child was playing at the base of a dome climber (play structure). The child's foot slipped, causing the child to fall forward and hit his mouth on the metal bar of the climber, which resulted in the child's 2 front teeth being pushed into his upper gums. First aid was administered and the child's parents were called. Parents took their child to see a dentist the same day. The child was referred to a specialist and oral surgery was not needed. The child did not return to the school.

Director Jarrett stated staff will no longer permit two-year-old children to use the dome structure as is may be to advanced for their usage.

Per California Code of Regulations Title 22, Division 12 Chapter 1, the following deficiency is being cited today: All play equipment and materials used by children shall be age-appropriate. (See page LIC809-D).

An exit interview was conducted and this report was reviewed with Director Rebecca Jarrett . A copy of Appeal Rights and the Notice of Site Visit was given and must remain posted for 30 days

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 08/17/2022 03:10 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710


FACILITY NAME: LITTLE COUNTRY CHRISTIAN SCHOOL
FACILITY NUMBER: 153809002

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/17/2022
Section Cited

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FIXTURES, FURNITURE, EQUIPMENT & SUPPLIES - All play equipment and materials used by children shall be age-appropriate. This requirement was not met as evidenced by interviews and observations. A child under 3 years old was playing on a dome play structure restricted for children over 3 years old.
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This poses a potential risk of the health, safety or personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 08/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/17/2022
LIC809 (FAS) - (06/04)
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