<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808216
Report Date: 03/30/2021
Date Signed: 03/30/2021 01:11:58 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: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: 22DATE:
03/30/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Stephanie Dunn - DirectorTIME COMPLETED:
01:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 3/30/21 at 11:45am Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced Case Management Inspection. LPA met with Director, Stephanie Dunn to discuss an incident report submitted to Community Care Licensing regarding an Unusual Incident that occurred on 3/25/2021 at 11:03am. Director stated that Child #1 was outside on the playground and running to kick a rubber ball on the wood chip surface. As Child #1 kicked the ball they twisted their leg and fell. Staff #1 and Staff #2 immediately tended to Child #1 who was crying and complaining of their leg hurting. Child #1's authorized representative was at the facility dropping off lunch at the time of the incident and took them home to rest. Later that day Child #1 was taken to the hospital where they were diagnosed with a broken bone in their leg. At the time of the incident there were two staff and eight children present on the playground. LPA inspected the play area where the Unusual Incident occurred. No tripping hazards were observed. No deficiencies were observed in the play equipment. LPA reviewed surveillance video but was unable to see the incident due to the play structure obstructing the view. LPA interviewed Director, Staff #1 and Staff #2. Child #1 was not present during today's inspection.

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.

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

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit form is required to be posted for 30 days.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2021
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 1