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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243801263
Report Date: 09/24/2019
Date Signed: 09/24/2019 04:21:24 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:HILMAR CHRISTIAN CHILDREN'S CENTERFACILITY NUMBER:
243801263
ADMINISTRATOR:OLIVEIRA, LESLIEFACILITY TYPE:
840
ADDRESS:20037 W. AMERICAN AVENUETELEPHONE:
(209) 668-1156
CITY:HILMARSTATE: CAZIP CODE:
95324
CAPACITY:70CENSUS: 25DATE:
09/24/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Leslie OliveiraTIME COMPLETED:
04:45 PM
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LPA Claudia Henley conducted a case management visit. I was met by Director Oliveira. LPA received an incident report which occurred on 8/13/19 at 9:45 a.m.. Interviewed with the Site Supervisor and one staff who was present on the playground at the of the incident. Staff stated that Child #1 was on the monkey bars on the school age playground structure. Witnesses stated that Child #1 was trying to reach over to the next bar and knew he was going to slip, so he let go. Child #1 fell to the ground and landed on his left arm fracturing the left radius bone. Staff witness was not able to reach the child before he fell. Interview with staff and Director stated that there was a teacher near this monkey bar area. In addition, per Director Oliveira, stated that staff are instructed when a child is on the playground structure, they area required to be near the child on the structure to assist if needed. Review of sign in/sign out and employee time sheets showed that there were three staff and 22 children present on the playground at the time of the incident. Director Oliveria stated that the plan of correction in the future is that children who are in 1st grade are not allowed to use this (monkey bar component) on the structure. Director stated that all staff have been advised of this new policy and that all staff are aware of the children's ages and what grade the child is in at school. Director stated that staff will also continue to monitor the playground structure at all times when they are used by children. LPA Henley spoke with Director regarding the liability on this particular component of the school age playground structure and that licensee may want to consider having this playground component removed from the structure area. LPA inspected the climbing structure/monkey bar area. There appeared to be adequate amount of pea gravel under and around the monkey bar area.

BASED UPON INFORMATION THAT WAS OBTAINED FROM THE FACILITY STAFF, IT IS DETERMINED THAT THERE WERE NO VIOLATION OF CCL REGULATIONS. NO FURTHER ACTION IS REQUIRED AT THIS TIME.

Site Visit Notice posted. Exit interview was conducted.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2019
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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