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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808388
Report Date: 03/10/2020
Date Signed: 03/10/2020 12:10:07 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:KIRSCHEN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
503808388
ADMINISTRATOR:NUNES, HEIDIFACILITY TYPE:
850
ADDRESS:1900 KIRSCHEN DRIVETELEPHONE:
(209) 575-8547
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY:20CENSUS: 19DATE:
03/10/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Guadalupe PimentelTIME COMPLETED:
12:30 PM
NARRATIVE
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On 03/10/2020 Licensing Program Analyst (LPA), Robert Gutierrez, conducted a case management – incident inspection and was met by Teacher, Guadalupe Pimentel. At around 10:45 a.m. Senior Director, Heidi Nunes and Coordinator of Early Childhood Education, Kimbra Draper arrived at the facility and met with LPA. The purpose of today’s inspection was to follow up on an incident that occurred on 03/03/2020 at approximately 2:20 p.m. at the facility. The incident involved Child 1 (C1) being left outside unsupervised in the fenced playground for approximately one minute. During todays inspection LPA spoke with staff and gathered information on the incident. Based on interviews conducted it was determined children were lining up in the playground to come inside the classroom. While children were lining up, Staff #1 (S1) started to do a head count of children in care. As S1 was counting children, two children got into a fight. This caused S1 to stop counting children and break up the fight. S1 continued with head count of children in care. Due to the fight, S1 accidentally counted one child twice causing her to get an incorrect number of total children in line. S1 thinking she/he had the correct number children in care transitioned children into indoor play, leaving C1 outside in the playground unsupervised. C1 was later seen by a Safety Patrol Member (SPM). SPM overheard C1 crying in the playground and went in the administrative office to notify the Administrative Assistant (AA) of what was observed. Once notified AA left the office and went outside looking for C1. AA observed C1 in the playground. AA entered the playground and walked C1 to the main office. AA contacted a preschool staff member and he/she retrieved C1.

Due to the incident occurring an informal meeting has been scheduled for Thursday, April 2, 2020 at 11:00 a.m. in the Fresno Regional Child Care office located at 1310 E Shaw Avenue, Fresno CA, 93710. LPA provided Ms. Nunes a hard copy of the informal letter.

Continued on 809 - C

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert GutierrezTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
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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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: KIRSCHEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 503808388
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/11/2020
Section Cited

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Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by staff interviews conducted during todays inspection.
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Speaking with staff it was determined C1 was left outside unsupervised in the playground for approximately one minute. This poses as an immediate risk to the health safety and/or personal rights of children in care.
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On 03/05/2020 all Modesto City School early childhood education teachers completed the supervision training module.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert GutierrezTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2020
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: KIRSCHEN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 503808388
VISIT DATE: 03/10/2020
NARRATIVE
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Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiency is found: (see LIC809-D) Site Visit Notice posted on the parent board. Exit interview was conducted with Senior Director, Heidi Nunes.

Ms. Nunes was provided a copy of appeal rights.


"Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months."

A copy of the Fact Sheet - AB 633 Child Care Parent Notification Requirements and a copy of LIC 9224 was given to licensee.

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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert GutierrezTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020
LIC809 (FAS) - (06/04)
Page: 3 of 3