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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503607701
Report Date: 10/03/2023
Date Signed: 10/03/2023 10:59:36 AM


Document Has Been Signed on 10/03/2023 10:59 AM - 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, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:CHILDREN'S CRISIS CENTER-GUARDIAN HOUSEFACILITY NUMBER:
503607701
ADMINISTRATOR:GARCIA, COLLEENFACILITY TYPE:
850
ADDRESS:246 WEST F STREETTELEPHONE:
(209) 577-0138
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:26CENSUS: 22DATE:
10/03/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Juan Vasquez-EspitiaTIME COMPLETED:
11:15 AM
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On 10/03/2023, Licensing Program Analysts (LPAs), Anita Tristan and Aurelio Mendoza met with Site Supervisor, Juan Vasquez-Espitia for an unannounced Case Management- Inspection. LPAs toured the facility and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 9/14/2023 where children #1 and #2 were playing “the wiener game” behind the climbing wall.

Staff took precaution when discussing concerns around proper play and utilized the event to reiterate the importance of keeping hands to their selves. Staff redirected the children to join the other group of children and play a new game. Site supervisor had a meeting with staff and management distributed a memo to all employees regarding the incident. Staff is aware that there is a blind spot. Per site supervisor staff have been directed to reposition themselves and move around to have clear site of all play areas. Site supervisor will also be putting a mirror on the back wall to assist with blind spots.

This was an isolated event and the facility took appropriate measures to address the incident, followed appropriate policies, regulations, and reporting requirements. No deficiencies were cited during this inspection.



An exit interview was conducted and a report was provided to Site Supervisor, Juan Vasquez-Espitia.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Anita TristanTELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:
DATE: 10/03/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/03/2023
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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