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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801151
Report Date: 10/09/2019
Date Signed: 10/09/2019 10:14:50 AM

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:SNOWDEN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
543801151
ADMINISTRATOR:MARTIN, JOSEFAFACILITY TYPE:
850
ADDRESS:281 S. FARMERSVILLE BLVD.TELEPHONE:
(559) 747-6221
CITY:FARMERSVILLESTATE: CAZIP CODE:
93223
CAPACITY:24CENSUS: 19DATE:
10/09/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Josefa MartinTIME COMPLETED:
10:30 AM
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On this date, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced case management inspection. LPA met with Administrator, Josefa Martin, to discuss an incident that occurred on 10/2/19. A complete file review was conducted prior to the inspection. LPA toured facility, took a census, interviewed staff and children, and observed area in which the incident occurred.

On 10/2/19 at approximately 2:05 PM, the children were beginning to wake up from their naps. Staff #1 (see Confidential Names Form (LIC 811) dated 10/9/19) was standing next to the stack of cots because she had begun to pick them up. Staff #1 said as she heard child #1 (see LIC 811) begin to cry, child #2 (see LIC 811) came up to her and said that he had hit child #1. Staff #1 said she immediately went to check on child #1 and saw that he was bleeding from the top of his forehead. She said she asked child #2 what happened and he said he was trying to bring her his bed and he hit child #1 on the head with his bed. Staff #1 immediately called over Administrator and Administrator took child #1 to the bathroom to clean the wound. Administrator stated she applied ice to child #1's forehead after she had cleaned him up and she called child #1's parent. Administrator said child #1's parent came to pick him up and took him to the doctor. Administrator provided LPA with a copy of the doctor's note indicating child #1 could return to school on 10/8/19. Administrator said it is not their policy to have the children pick up their cots. She said they have since, reminded the children to not pick up the cots and leave them for the teachers to pick up.

Based on the information obtained, LPA determined Licensee handled the incident correctly and reporting requirements were met. After interviewing staff and children and reviewing facility records, LPA determined Licensee took appropriate measures to address child #1's injury. LPA further determined Licensee followed proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's inspection.
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: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2019
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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