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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 200403454
Report Date: 04/19/2022
Date Signed: 04/19/2022 01:16:58 PM


Document Has Been Signed on 04/19/2022 01:16 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:EAST SIDE CENTERFACILITY NUMBER:
200403454
ADMINISTRATOR:RAMIREZ, MARIAFACILITY TYPE:
850
ADDRESS:1112 SOUTH A STREETTELEPHONE:
(559) 674-1268
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:40CENSUS: 12DATE:
04/19/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maria RamirezTIME COMPLETED:
01:45 PM
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Licensing Program Analysts (LPAs) Brannon and Zamudio met with site supervisor, Maria Ramirez. During today's inspection, LPAs took a census, interviewed staff, reviewed children's and staff files. LPAs observed 12 preschool children with three staff.

LPA received an Unusual Incident Report. The incident occurred on 2/8/22. Staff observed child #1 with bruising. Child #1 and Child #2 were admitted into the program as of 11/15/21. On 2/8/22, staff observed that child #1 had a bruise. Staff notified Child Welfare Services were contacted. Staff completed the Suspected Child Abuse Report (SCAR). Madera PD, Social Worker, Public Health Nurse and CAP of Madera Co Health Specialist arrived at center on 2/9/22.

At this time, LPA Brannon will review documentation with North Fresno Regional office. A return inspection will be conducted at a later time.
Exit interview conducted and report was reviewed with Health Specialist, Patricia Almanza.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2022
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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