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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801061
Report Date: 04/10/2024
Date Signed: 04/10/2024 01:06:34 PM


Document Has Been Signed on 04/10/2024 01:06 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
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:SAINT ANNE'S PRESCHOOLFACILITY NUMBER:
543801061
ADMINISTRATOR:LOPEZ, SANDRAFACILITY TYPE:
850
ADDRESS:331 NORTH F STREETTELEPHONE:
(559) 781-8614
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:40CENSUS: 25DATE:
04/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Olivia WobrockTIME COMPLETED:
01:30 PM
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On 04/10/2024 Licensing Program Analyst (LPA) Adrian Pizano conducted an unannounced Case Management inspection. LPA met with Director, Olivia Wobrock toured the facility, and took a census. The purpose of today’s inspection was to discuss an incident that was reported to Community Care Licensing (CCL) on 04/08/2024.

Director stated that on 03/14/2024 there were 11 children and 2 teachers in the reading & writing room. Teacher 1 was attending to children and cleaning their noses and Teacher 2 was helping another child when she heard Child 1 start to cry. Child 2 wanted a toy that Child 1 had, Child 2 did not use her words as Child 2 is non-verbal, and bit Child 1 in the finger breaking the skin. Teacher 2 administered First aid and Child 1’s parent was notified. Child 1 returned to care the following day. LPA discussed supervision at the time of the incident, and it was determined that appropriate supervision was in place. Staff will continue to always monitor children and ensures to follow procedures listed in Parent Handbook with redirecting children. LPA inspected the area where the incident took place and did not observe any safety hazards or areas of concern.

This appears to be an isolated incident and staff took appropriate measures to address the child’s injury, following appropriate policies, regulations, and reporting requirements.

No deficiencies cited during today’s inspection.

A copy of this report to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Adrian PizanoTELEPHONE: (559) 977-8435
LICENSING EVALUATOR SIGNATURE:
DATE: 04/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/10/2024
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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