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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100404094
Report Date: 06/07/2024
Date Signed: 06/07/2024 12:39:53 PM

Document Has Been Signed on 06/07/2024 12:39 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FUSD-WEBSTER CHILD DEVELOPMENT CENTERFACILITY NUMBER:
100404094
ADMINISTRATOR/
DIRECTOR:		BECKWITH, KIMFACILITY TYPE:
850
ADDRESS:930 N. AUGUSTATELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY: 66TOTAL ENROLLED CHILDREN: 66CENSUS: 31DATE:
06/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Luis FigueroaTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
NARRATIVE
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On 6/7/24, Licensing Program Analyst (LPA) Priscilla Zamudio conducted an unannounced case management inspection. LPA met with Site Supervisor, Luis Figueroa to discuss an incident which occurred on 5/30/24. A census was also taken. LPA interviewed staff, reviewed pertinent information and observed where the incident occurred.

On 5/30/24, at approximately 10:00am, staff#1 reported observed interactions between staff#2 and child#1. Staff#1 observed child#1 hitting staff#2 and then staff#2 pushed child#1 away on the arm telling them not to hit. Child#1 attempted to get a toy from staff#2 and then staff#2 hit child#1 twice with the toy in hand. Child#1 cried but did not have any visible injuries. Staff#2 informed site supervisor that “it was not hard, more of a tap”.

Based on information gathered and interviews conducted by LPA, staff were found to be in violation of the child’s personal rights.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is cited (see LIC809D).

Exit interview conducted and report was reviewed with Site Supervisor, Luis Figueroa.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2024
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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Document Has Been Signed on 06/07/2024 12:39 PM - It Cannot Be Edited


Created By: Priscilla Zamudio On 06/07/2024 at 10:23 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-WEBSTER CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 100404094

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/07/2024
Section Cited
CCR
101223(a)

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Personal Rights(a)The licensee shall ensure that each child is accorded the following personal rights: (3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This requirement is not met as evidenced by:
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Facility has taken steps to remedy the situation by providing training to all staff. Staff#2 was sent home for the day after the incident and will not be allowed until conclusion of investigation by FUSD HR Department, regarding the incident.
Deficiency cleared.
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Based on interview and record review, the licensee did not comply with the section cited above. Staff hit/tapped child with a toy which poses a potential health, safety, or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Cynthia Brannon
LICENSING EVALUATOR NAME:Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE:
DATE: 06/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/07/2024


LIC809 (FAS) - (06/04)
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