<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100407511
Report Date: 11/03/2022
Date Signed: 11/03/2022 10:59:41 AM

Document Has Been Signed on 11/03/2022 10:59 AM - It Cannot Be Edited

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:WELDON STATE PRESCHOOLFACILITY NUMBER:
100407511
ADMINISTRATOR:TARA LOGANFACILITY TYPE:
850
ADDRESS:150 DEWITTTELEPHONE:
(559) 327-9186
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY: 51TOTAL ENROLLED CHILDREN: 51CENSUS: 14DATE:
11/03/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Yolanda Ortega-Hackett - Teacher/DirectorTIME COMPLETED:
11:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/3/22 Licensing Program Analyst (LPA) Joseph Pacheco arrived at the facility to conduct an unannounced Case Management inspection. LPA met with Teacher/Director, Yolanda Ortega-Hackett, toured the facility and a census was taken. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 9/6/22. On 9/2/22 during clean up time, Child #1 was running to pick up a toy when they slipped and fell on the wooden floor. The result of the fall was that Child #1’s tooth made a hole in their lip. Staff provided first aid by putting ice on the wound and applying pressure to stop the bleeding. Child #1’s authorized representative was contacted to pick them up. Child #1 was taken to their doctor by their authorized representative where they received two stitches to treat the wound. Child #1 returned to care on 9/6/22. LPA observed the area where the unusual incident took place. LPA did not observe any tripping hazards. The floor appeared to be in good repair. This appears to be an isolated incident and staff took appropriate measures to address Child #1's injury, following appropriate policies, regulations, and reporting requirements.

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 Teacher/Director, Yolanda Ortega-Hackett.

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.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 11/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/03/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1