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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808138
Report Date: 07/12/2021
Date Signed: 07/12/2021 12:29:11 PM

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:CERES CHRISTIAN PRESCHOOLFACILITY NUMBER:
503808138
ADMINISTRATOR:YEAGER, TAMMYFACILITY TYPE:
850
ADDRESS:3502 ROEDING ROADTELEPHONE:
(209) 380-9319
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY:85CENSUS: 39DATE:
07/12/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Tammy YeagerTIME COMPLETED:
12:45 PM
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On 07/12/2021, Licensing Program Analyst (LPA) Candis Rodriguez conducted a Case Management Inspection to investigate an incident that occurred at facility on 06/28/2021. LPA met with Director Tammy Yeager, took a tour of the facility and a census. LPA explained purpose of inspection to Director.

On 06/28/2021, at 9:30am, Child #1 was standing outside behind Classrom #1's door. Teacher #1 was ushering children into the classroom through the door. Teacher #1 saw Child #1 behind the door and moved Child #1 away from behind the door. As Teacher #1 turned to assist another child entering the classroom, Child #1 went back behind the door. Child #1 put their hand in the door. As the door started to close, Child #1 screamed and Teacher #1 immediately opened the door and found that Child #1 had smashed their finger in the door. Teacher #2 heard Child #1 scream and immediately went to help Child #1. Teacher #1 grabbed an ice pack and gave it to Teacher #2. Teacher #2 sat with Child #1 and applied the ice pack to Child #1's finger. Site Supervisor (SS) Aryn Short took Child #1 inside and called Child's mother at 9:40am. Because there was no visible injury, and Child #1 was no longer crying, Child's mother elected not to pick up Child #1 immediately. Approximately one hour later at 10:40am, Teacher #2 noticed Child #1 was still not using their finger and told SS. SS called Child's mother again and Child #1 was picked up at 11:30am. Child #1 did not attend facility the next two days. Facility was notified on 06/30/2021 that Child would go to the doctor due to not using their hand as much. Facility was notified on 07/01/2021 that Child #1 had a fractured finger. Child's finger was taped to the adjacent finger to allow healing. Child #1 returned to the facility on 07/07/2021.

After the incident, facility immediately placed blue tape around all doors, and advised all teachers that children should not stand in these zones. Teachers instructed their classrooms these areas in blue tape are "no-no zones" to attempt to prevent children from being injured in the future.

(Continued on LIC 809-C)
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021
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: CERES CHRISTIAN PRESCHOOL
FACILITY NUMBER: 503808138
VISIT DATE: 07/12/2021
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LPA observed Classroom #1's door to be in working order. LPA interviewed Teacher #1 and Teacher #2. LPA reviewed facility files and sign in sheets. Based on interviews and record review, facility was within ratio and capacity at time of incident. There were three teachers and 26 children outside during the incident.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, no deficiencies are observed today. Site Visit Notice posted on the parent board. Exit interview was conducted with Tammy Yeager.

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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Candis RodriguezTELEPHONE: (559) 341-4117
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2021
LIC809 (FAS) - (06/04)
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