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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503600760
Report Date: 03/06/2020
Date Signed: 03/06/2020 11:40:58 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:WAKEFIELD HEAD STARTFACILITY NUMBER:
503600760
ADMINISTRATOR:HUERTA, JUDYFACILITY TYPE:
850
ADDRESS:400 SOUTH AVENUETELEPHONE:
(209) 632-2857
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY:80CENSUS: 45DATE:
03/06/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Judy HuertaTIME COMPLETED:
12:15 PM
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On this date, 3/6/20, Licensing Program Analyst (LPA) Brannon conducted a case management inspection at the facility. LPA met with director, Judy Huerta. A file review was conducted prior to inspection. LPA toured facility, took a census, interviewed staff, child, and observed the area in which the incident took place.

On 2/5/20, child #1 (see LIC 857 - Children's Record Review dated 3/6/20) was in the play structure. While in the play structure, child ran across the bridge and onto the slide platform. Child #1 informed LPA that due to running, the child's bottom inside of lip was bitten, causing bleeding. Staff #1 (see LIC 859 - Review of Staff/Volunteer Records dated 3/6/20) was present when the incident took place. Staff #1 was standing near the slide area and was able to observe children on the slide platform. Staff #1 heard a child falling. Child #1, with a group of friends, went to staff #1. Child #1 showed staff #1 the injured area. Staff #1 took child #1 and placed an ice pack on the injured area. The Health Nurse took over and placed a phone call to mother. Child #1 was picked up by mother within 15 minutes and taken to Urgent Care. Around 2:15 pm, staff #1 made a follow up call to parent to check on child #1. The next day, child #1 returned to facility.

Staff followed their safety and supervision zoning plan on the date of incident. Staff have zones that they are stationed based upon the children's flow of play.

Based upon the information obtained, LPA determined Licensee handled the incident correctly and reporting requirements were met. After interviewing staff and child, reviewing facility records, LPA determined Licensee took appropriate measures to address the child #1's injury. LPA further determined Licensee followed proper policies and procedures and no regulations were violated.

Per California Code of Regulations, Title 22, Chapter 1, Division 12, no deficiency was cited during today's inspection. Exit interview conducted with director, Judy Huerta.

LIC 9213 Notice of Site Visit form is required to be posted for 30 days. Report should be made available for review.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2020
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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