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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163808656
Report Date: 10/15/2019
Date Signed: 10/16/2019 01:41:54 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:LITTLE FEET CHILDCARE & PRESCHOOL INC.FACILITY NUMBER:
163808656
ADMINISTRATOR:RATHS, CHEYENNEFACILITY TYPE:
840
ADDRESS:865 E. GRANGEVILLE BLVD.TELEPHONE:
(559) 583-6220
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:30CENSUS: 0DATE:
10/15/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Cheyenne RathsTIME COMPLETED:
11:20 AM
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On this date, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced case management inspection. LPA met with Administrator, Cheyenne Raths, to discuss an incident that occurred on 10/1/19. A complete file review was conducted prior to the inspection. LPA toured facility and took a census. There were no children present at the school age facility, however, there were 12 infants present and 24 preschool aged children present. LPA also interviewed staff, reviewed children and staff files and observed area in which the incident occurred. LPA verified staff members present during the incident have completed training on preventative health practices including pediatric CPR and first aid.

On 10/1/19, at approximately 3:15 PM, the school age children were in classroom #3 with 3 staff members present. The children were at tables eating their snacks of grapes. Staff #1 (see Confidential Names Form (LIC 809) dated 10/15/19) noticed Child #1 (see LIC 809) shoving multiple grapes into her mouth and began to comment to Child #1 about it, however, she noticed Child #1 acting like she was going to throw up. Around the same time, Staff #2 (see LIC 809) saw Child #1 reaching for her throat (in a chocking motion). As Child #1 got up from the table, Staff #1 helped her to the trash can where Child #1 was trying to throw up. Staff #1 then approached Child #1 and gave her two back blows in order to assist her. Staff #2 stated Child #1 then placed her finger down her throat and tried to make herself throw-up, but only a little bit came out. Staff #2 said she then gave Child #1 two abdominal thrusts. Staff #2 said Child #1 then put her finger down her throat again and she was able to throw up more. Staff #1 stated as Child #1 was throwing up she saw a whole grape come out of Child #1's mouth. Staff #1 stated they gave Child #1 some water and took her to a room by herself to rest. Staff #1 said she called the Director and Child #1's parent and informed them of the incident. Staff #1 said Child #1 stayed resting until her parent came to pick her up. Child #1 was taken for medical attention and provided the facility with a return to school note for 10/2/19. Administrator and staff members stated they have always reminded children to eat slowly and not shove food in their mouths, but since this incident, they continue to remind them constantly to eat slowly.
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SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: LITTLE FEET CHILDCARE & PRESCHOOL INC.
FACILITY NUMBER: 163808656
VISIT DATE: 10/15/2019
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Based on the information obtained, LPA determined Licensee handled the incident correctly and reporting requirements were met. After interviewing staff and reviewing facility records, LPA determined Licensee took appropriate measures to address the incident. LPA further determined Licensee followed proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's inspection.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 10/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/15/2019
LIC809 (FAS) - (06/04)
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