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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808216
Report Date: 10/15/2019
Date Signed: 10/15/2019 11:54:58 AM

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:GATEWAY EDUCARE INFANT CENTER AND PRESCHOOLFACILITY NUMBER:
243808216
ADMINISTRATOR:DUNN, STEPHANIEFACILITY TYPE:
850
ADDRESS:343 E. DONNA DRIVETELEPHONE:
(209) 725-7935
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:46CENSUS: 29DATE:
10/15/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Stephanie Dunn - DirectorTIME COMPLETED:
12:15 PM
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On 10/15/2019 at 10:45am, a Case Management inspection was conducted by Licensing Program Analyst (LPA) Joseph Pacheco. LPA met with Director, Stephanie Dunn to discuss an incident report submitted to Community Care Licensing regarding an Unusual Incident that occurred on 6/19/2019 at 4:40pm. The Director stated that Child #1 was playing in the Orange Room classroom, standing near a table when they fell backwards hitting their head on the ground. Child #1 appeared to be startled or possibly begin having a seizure. Child #1 was picked up off the ground and treated with an ice pack and was observed for a period of time. Director notified the mother immediately and Child #1 was picked up at 6:00pm. Child #1 was taken by their mother to the hospital for medical attention. Child #1 returned to the facility on 6/25/2019 and has not had anymore seizures while in care at the facility. According to the Director, Child #1 suffered a concussion from hitting their head as a result of the seizure. Director states that Child #1's Mother did not provide her with an explanation as to why the seizure occurred. After the Unusual Incident occurred, Director states that she was informed by the Mother that Child #1 does have a history of seizures. Child #1 is not receiving Incident Medical Services (IMS) at this facility. Director states that medications are administered by Child #1's parents while at home. LPA inspected the area where the Unusual Incident occurred and reviewed surveillance video of the incident. LPA discussed IMS with the Director and a handout outlining IMS requirements was provided during today's inspection. Director provided LPA with a copy of the facilities IMS policy.

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

No deficiency cited during today's inspection.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
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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