243808924-3-9-2020-04-CC-GBAA-BMJN5U-20200309101006

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 243808924
Report Date: 03/09/2020
Date Signed: 03/09/2020 10:10:14 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:	DANIELSON HEAD START		FACILITY NUMBER:	243808924
ADMINISTRATOR:	LAWRENCE, RENEE		FACILITY TYPE:	850
ADDRESS:	1235 N ST		TELEPHONE:	(209) 381-5170
CITY:	MERCED	STATE: CA	ZIP CODE:	95341
CAPACITY:	55	CENSUS: 12	DATE:	03/09/2020
TYPE OF VISIT:	Case Management - Deficiencies	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Holly Ferro		TIME COMPLETED:	10:25 AM

NARRATIVE

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Licensing Program Analyst (LPA) Ginny Badhesha conducted an unannounced case management – deficiency inspection and met with Lead Teacher, Holly Ferro. LPA toured the facility, took a census, and interviewed staff. The purpose of today’s case management inspection was to address an incident that occurred on February 27, 2020 that was self reported to Community Care Licensing (CCL) where Child #1 wandered away from the facility.

On February 27, 2020, around 11:30am Child #1 was on the ramp outside of the classroom door. At approximately 11:30am, babysitter found the child outside by the ramp by the exit door when she arrived.

Holly Ferro stated that at the time of the incident, there were a total of 2 staff caring for 8 children. Holly stated that parents/authorized representatives of Child #1 were notified of the incident.

On February 27, 2020, the facility was in violation of California Code of Regulations (CCR) Section 101229(a)(1) which states: "No child(ren) shall be left without supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.”

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiencies are found: (see LIC809-D). Exit interview was conducted with Lead Teacher, Holly Ferro. Licensee was provided a copy of appeal rights.

LPA advised Lead Teacher, Holly Ferro, that this was a serious offense and there is a zero tolerance for this type of violation.

(Continued on 809-C)

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Gagandip Badhesha	TELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DANIELSON HEAD START	FACILITY NUMBER: 243808924
	VISIT DATE: 03/09/2020

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The licensee shall post and provide copies of this licensing report to parents/guardians of children in care and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of this report must be given to each enrolled child's parent(s). The licensee was provided a copy of the "Fact Sheet" for AB 633 (Parent Notification Requirements), along with a copy of the relevant documents on this date. The licensee must implement the new procedure immediately, by having all parents of enrolled children sign the LIC 9224 (Acknowledgement of Receipt of Licensing Reports) and must retain a copy in each child's file.

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 deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Gagandip Badhesha	TELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2020

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: DANIELSON HEAD START	FACILITY NUMBER: 243808924
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/09/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 02/27/2020 Section Cited	1 2 3 4 5 6 7	Responsibility for Providing Care and Supervision. (a)The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time..Supervision shall include visual observation. This requirement was not evidenced by:
	8 9 10 11 12 13 14	Based on interview and record review, the licensee did not ensure that all children are receiving supervision at all times, which poses an immediate health, safety and personal rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Diana deLeon	TELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Gagandip Badhesha	TELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:	DATE: 03/09/2020

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/09/2020

LIC809 (FAS) - (06/04)

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