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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503608871
Report Date: 12/05/2022
Date Signed: 12/05/2022 01:54:19 PM


Document Has Been Signed on 12/05/2022 01:54 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:CHRYSLER HEAD STARTFACILITY NUMBER:
503608871
ADMINISTRATOR:LEMUS, JEWELLEFACILITY TYPE:
850
ADDRESS:2818 CONANT AVE.TELEPHONE:
(209) 525-4937
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:52CENSUS: 27DATE:
12/05/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Michelle HigginsonTIME COMPLETED:
02:00 PM
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On December 5, 2022, Licensing Program Analyst (LPA) Kari McWilliams conducted an unannounced case management inspection. LPA toured the facility and a census was taken. LPA met with Center Supervisor Michelle Higginson. The purpose of today's inspection was to discuss an incident that was reported to the Department on September 21, 2022. A complete file review was conducted prior to today's inspection.

An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office regarding an incident that occurred on September 20, 2022 where Child #1 (C1) reported that a staff member hit him on the arm when he wanted to touch the tv. The facility conducted an internal investigation of the incident; Director II Jelewee Lemus interviewed staff present in the classroom and determined that the staff turned on cartoons for a few minutes and during that time C1 went to go touch the screen and was redirected not to touch the screen.

LPA McWilliams spoke to Director Lemus over the phone, Director Lemus stated that through the investigation it was determined that the teacher guided the child’s arm down and did not hit the child as reported. Director Lemus stated that C1 is a very compliant child and does not need any type of correction and it was unusual for him to be redirected causing C1 to have a different idea of the interaction. Director Lemus spoke to C1's authorized representative with the assistance of an interpreter and discussed the outcome of the investigation; the authorized representative reported that it was very out of character for her child to say that, so she wanted to make sure it was reported. The child is still enrolled and attending and there have been no further issues.

Director Lemus confirmed on the date of the incident that there were three staff present and 11 kids in the classroom at the time of the incident. Director Lemus stated that there were also discussions with staff regarding turning on cartoons in the classroom and it being against policy.
continued on 809-c
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Kari McWilliamsTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2022
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: CHRYSLER HEAD START
FACILITY NUMBER: 503608871
VISIT DATE: 12/05/2022
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Exit interview was conducted with Center Supervisor, Michelle Higginson.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited today. Notice of Site Inspection to be posted for 30 days.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Kari McWilliamsTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2022
LIC809 (FAS) - (06/04)
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