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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406442
Report Date: 06/02/2023
Date Signed: 06/02/2023 02:53:35 PM

Document Has Been Signed on 06/02/2023 02:53 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-WINCHELLFACILITY NUMBER:
100406442
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:3722 E. LOWETELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93702
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 16DATE:
06/02/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jose ValadezTIME COMPLETED:
03:00 PM
NARRATIVE
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On 06/02/23, Licensing Program Analyst (LPA), Martha De Haro conducted an unannounced case management inspection to follow up on an Unusual Incident that occurred on 05/26/23. LPA met with teacher, Jose Valadez as well as Health and Safety Supervisor Charlotte Miranda. LPA toured the facility and a census was taken.

LPA De Haro informed Mr. Valadez and Ms. Miranda the reason for the visit. LPA interviewed Mr. Valadez and staff regarding the incident. The incident involved a child being left alone in the classroom while the rest of the class went out to the playground. Per Mr. Valadez, it was a case of miscommunication between staff as there were three extra people in the class, two of them from Early Learning. The staff from Early Learning were the last to stay in the classroom and did not make sure to check if a child was still in the class before they joined the rest of the class outside in the playground. Mr. Valadez immediately called the mother after the incident as the child was upset and crying.

Based on the information obtained, the facility staff did not take appropriate measures to assure that no children were left unsupervised inside of the classroom, which poses an immediate health, safety, or personal rights risk to children in care.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency was cited (See LIC809-D for additional information).

Exit interview conducted with Health and Safety Supervisor Charlotte Miranda. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days. Appeal rights were also provided.

SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2023
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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Document Has Been Signed on 06/12/2023 11:40 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 06/12/2023 11:37 AM


Created By: Martha DeHaro On 06/02/2023 at 02:27 PM
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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-WINCHELL
FACILITY NUMBER: 100406442

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/06/2023
Section Cited
CCR
101229(a)(1)

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101229(a)(1)
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time... specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Health and Safety Supervisor Ms. Miranda stated that she is having all preschool staff complete a refresher training on appropriate supervision. Ms. Miranda is to email a copy of the powerpoint presentation to CCLD as well as the staff sign in sheet by the Plan of Correction due date, June 6, 2023.
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This requirement was not met as evidenced by:
Teacher Mr. Valadez stated that a child was left in the classroom alone for about 35 to 40 minutes while everyone was in the playground. This poses an immediate health, safety, or personal rights risk to children 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:Rene Mancinas
LICENSING EVALUATOR NAME:Martha DeHaro
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2023


LIC809 (FAS) - (06/04)
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