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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163801067
Report Date: 05/16/2024
Date Signed: 05/16/2024 10:52:07 AM


Document Has Been Signed on 05/16/2024 10:52 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:PRESTON J. GREEN, SR., LEARNING CENTERFACILITY NUMBER:
163801067
ADMINISTRATOR:SIBRIAN, BARBARAFACILITY TYPE:
850
ADDRESS:11411 SOUTH ELEVENTH AVENUETELEPHONE:
(559) 582-5184
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:170CENSUS: 126DATE:
05/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Barbara SibrianTIME COMPLETED:
11:05 AM
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On 05/16/24, Licensing Program Analyst Denisia Jimenez conducted an unannounced case management inspection to discuss an incident report that was submitted to Community Care Licensing regarding an incident that occurred at the facility on 05/03/24. LPA met with Director, Barbara Sibrian. LPA toured the facility and a census was taken.

Director stated that Child #1 was climbing up the spiral stairs of the play structure and jumped onto the play structure form, missed and fell downwards. Child #1 hit his right arm going down and landed face down on the ground on his right elbow. Teacher #1 walked over to Child #1 to make sure he was fine. Child #1 was crying and couldn’t move his right arm. Child #1 was taken to the office where and ice pack and an elastic bandage was provided. Child #1 parent was called right away and parent #1 took child #1 to Valley Children’s Hospital. Child #1 has a Closed Supracondylar Fracture of Right Humerus, Closed reduction, elbow, with percutaneous pinning and cast application. Child #1 has restrictions, and a plan was reviewed with the parent.
Director stated that Staff discussed and reviewed best practices safety for play structures. Also, all classroom staff will have a large group discussion outdoor safety for the play structure area. Staff will also implement safety on the playground.

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

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

(Continued on 809-C)
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Denisia JimenezTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/16/2024
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


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: PRESTON J. GREEN, SR., LEARNING CENTER
FACILITY NUMBER: 163801067
VISIT DATE: 05/16/2024
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Exit interview conducted with Director, Barbara Sibrian.

This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Denisia JimenezTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:

DATE: 05/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024
LIC809 (FAS) - (06/04)
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