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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808404
Report Date: 01/10/2022
Date Signed: 01/11/2022 07:58:35 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:WINFIELD PRE-SCHOOLFACILITY NUMBER:
243808404
ADMINISTRATOR:BOESCH, KRISTIFACILITY TYPE:
850
ADDRESS:6981 CHESTNUT LANE ROOMTELEPHONE:
(209) 357-6891
CITY:WINTONSTATE: CAZIP CODE:
95388
CAPACITY:24CENSUS: 0DATE:
01/10/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Kristi Boesch - PrincipalTIME COMPLETED:
02:00 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 1/10/22 Licensing Program Analyst (LPA), Joseph Pacheco arrived at the facility to conduct an unannounced Case Management Inspection. LPA met with Principal, Kristi Boesch to discuss an Unusual Incident that was reported to Community Care Licensing on 10/28/21. On that date, the facility reported that Child #1 was returning to the preschool classroom after attending an assembly and walking in a line with the other preschool students and facility staff. Child #1 fell and hit their face on the asphalt. Child #1 had their hands in their pocket at the time when they fell and was unable to break their fall. Child #1 mouth was bleeding from the fall. Staff immediately treated Child #1’s injury and contacted their parents. Child #1 was taken to the school nurse for examination and further treatment. Parents arrived at the facility within minutes of the incident and took Child #1 to Urgent Care and their dentist for further examination. Child #1 returned to care on 10/29/21. No further treatments have been needed. During today’s inspection LPA interviewed staff and inspected the area where the Unusual Incident took place. LPA did not observe any safety hazards or areas of concern. LPA discussed supervision at the time of the incident and it was determined that appropriate supervision was in place.

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 Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with the Superintendent, Randall Heller.

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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2022
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