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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808937
Report Date: 10/18/2019
Date Signed: 10/18/2019 01:56:06 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:GROWING IN GRACE PRESCHOOLFACILITY NUMBER:
543808937
ADMINISTRATOR:REED, RENEEFACILITY TYPE:
850
ADDRESS:1111 S. CONYER STREETTELEPHONE:
(559) 734-7695
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:78CENSUS: 39DATE:
10/18/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Renee ReedTIME COMPLETED:
02:00 PM
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On this date, Licensing Program Analyst (LPA) Theresa Marquez conducted a Case Management inspection and met with Director Renee Reed. The purpose of this inspection is to discuss an incident report received by Community Care Licensing on October 2, 2019.

The Director stated that on September 23, 2019, Child #1 was playing outside, on the bike path area, when another child who was riding a tricycle passed him. Child #1 became upset when the child passed him. He then slammed the toy bus down and began to cry. At that moment Teacher L. Gonzalez approached Child #1 and noticed his mouth was bleeding and an upper tooth was missing. First Aid was administered and parents were notified. Parents transported Child #1 to the dentist who assessed the child and deemed him to be okay. No dental procedures or follow up were necessary.

At the time of the incident there were 14 children outside with 4 staff present. It was determined that appropriated supervision was in place.
LPA inspected the outside play area where the incident took place and did not observed any safety hazards or areas of concern. Staff took appropriate measures to address Child #1 injury.

No deficiency cited at this inspection
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019
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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