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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801384
Report Date: 08/18/2023
Date Signed: 08/18/2023 01:48:18 PM


Document Has Been Signed on 08/18/2023 01:48 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:SENAIDA GARCIA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
543801384
ADMINISTRATOR:MATEUS, CARLAFACILITY TYPE:
850
ADDRESS:528 S. CHINOWTHTELEPHONE:
(559) 735-0119
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:87CENSUS: 45DATE:
08/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Carla MateusTIME COMPLETED:
02:00 PM
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On 8/18/2023, a Case Management inspection was conducted by Licensing Program Analyst (LPA) Theresa Marquez. LPA Marquez met with Site Supervisor Carla Mateus to discuss a self reported incident that was called in to Community Care Licensing Officer of the day on 8/18/2023.

Site Supervisor Mateus stated on 8/18/2023 at approximately 9:55 AM, Child #1 was climbing up underneath the chain link climber that is located in the play yard. Teacher Barrett observed Child #1 climbing underneath and instructed him to stop. Child #1 let go of the chain link climber, fell, hit his mouth, and his gum area and his front teeth began to bleed. Teacher Benevente applied First Aid immediately. Child #1 parent was notified, and arrived at the center to take him to his dentist for an assessment. Child #1 was cleared to return to school on 8/17/2023.

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.

An exit interview was conducted and this report was reviewed with Carla Mateus. This report shall be made available to the public upon request. The Notice of Site Visit, LIC9123, is provided and required to be posted for 30 days. Licensee’s Appeal Rights were provided.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 08/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/18/2023
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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