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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808533
Report Date: 05/03/2021
Date Signed: 05/03/2021 11:28:23 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:SUNNYSIDE UNION ELEMENTARYFACILITY NUMBER:
543808533
ADMINISTRATOR:GUNDERMAN, JODYFACILITY TYPE:
850
ADDRESS:21644 AVENUE 196TELEPHONE:
(559) 568-1742
CITY:STRATHMORESTATE: CAZIP CODE:
93267
CAPACITY:24CENSUS: 11DATE:
05/03/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Jody Gunderman TIME COMPLETED:
11:45 AM
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On 05/03/2021, Licensing Program Analyst (LPA’s), Diane Mercado and Araceli Gibson met with Director Jody Gunderman for an unannounced case management inspection. LPA toured the facility and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 04/23/2021, where staff #1 grabbed child #1’s right wrist.

Staff #2 witnessed Staff #1 grab Child #1 up from the carpet by the wrist and physically move Child #1 on the alphabet carpet (approximately 4 to 5 feet). Staff #1 states that Child #1 was moved because staff #1 did not want to trip and Staff #1 moved child by the hand. Child #1 did not have marks on their wrist and did not complain of pain in the area. Staff #2 reported incident to Director and Tulare County Sheriff’s Department. The Sheriff’s Department responded to the facility and issued an Incident Report #21-5029. Sheriff’s Deputy advised Child #1’s parent/guardian of the incident. At the time of the incident, 3 staff and 3 children were present in the classroom. Director had a meeting with Staff #1 on same date of incident.

Based on the information obtained, this appears to be an isolated incident and staff took appropriate measures to address the incident, following appropriate policies and reporting requirements.



Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, no deficiency was cited during today’s inspection.

Exit interview conducted with Director.


This report is to be made available to the public upon request.
LIC 9213 Notice of Site Visit to be posted for 30 day.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2021
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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