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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 01:01:01 PM

Document Has Been Signed on 06/07/2024 01:01 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 Figueroa TIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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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 and a census was also taken. LPA interviewed staff and observed where the incident occurred.

On 5/30/24, at approximately 11:40 am, child #1 was finishing eating lunch sitting on the edge of a chair. She slid and fell off the chair and hit the back of her head. Staff#1 noticed there was blood coming from the back of the child’s head while comforting. Nurse and Emergency Medical Services (EMS) and parents were immediately called. EMS suggested to wait for mother to make a decision whether to take the child to hospital or to take home. Mother took child#1 to hospital where they received a staple on the back of the head. Staff will continue to visually supervise, support and monitor children during meal times. This was an isolated injury incident.

Based on information gathered and observations made by LPA, there were no obvious concerns or hazards found.

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

Exit interview conducted and report was reviewed with Site Supervisor.

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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