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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500319584
Report Date: 03/11/2025
Date Signed: 03/11/2025 02:04:06 PM

Document Has Been Signed on 03/11/2025 02:04 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RIVERBANK HEAD STARTFACILITY NUMBER:
500319584
ADMINISTRATOR/
DIRECTOR:
HOTCHKISS, JEWELEEFACILITY TYPE:
850
ADDRESS:6200 CLAUS ROADTELEPHONE:
(209) 869-7005
CITY:RIVERBANKSTATE: CAZIP CODE:
95367
CAPACITY: 41TOTAL ENROLLED CHILDREN: 41CENSUS: 9DATE:
03/11/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:05 PM
MET WITH:Michelle HigginsonTIME VISIT/
INSPECTION COMPLETED:
02:35 PM
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On 3/11/2025, Licensing Program Analyst (LPA) Valentin Hernandez conducted an unannounced Case Management-Incident visit. During today’s visit, LPA met with Site Supervisor, Michelle Higginson.

The reason for the Case Management visit was to follow up on an incident that occurred on 2/26/2025 and the LIC 624 form that was submitted due to that incident. The LIC 624 form documented that on 2/26/2025 a child was climbing on a play structure, slipped, and hit his mouth on a step making his front teeth loose. Mother picked up child, took him to the dentist. Dentist stated that the child’s teeth needed to be removed but could not do it at the time due to the damage and bruising of the mouth and gums. Child returned to care the next day and has been continuously attending.

During today’s Case Management visit LPA interviewed Center staff and inspected the playground and play structured where the child fell and hit his mouth. Through interviews it was determined that the child had supervision, play structure was in good condition, and that this incident was an isolated one.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiency has been cited during today’s visit. Site Supervisor, Michelle Higginson was provided a copy of appeal rights.

A notice of site visit (LIC 9213) was given and must remain posted for 30 days. This report shall be made available to the public upon request.

Exit interview conducted and report was reviewed with Site Supervisor, Michelle Higginson.

Cynthia BrannonTELEPHONE: (559) 650-7884
Valentin HernandezTELEPHONE: 559-243-4588
DATE: 03/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2025
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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