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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801189
Report Date: 05/30/2023
Date Signed: 05/30/2023 03:26:04 PM

Document Has Been Signed on 05/30/2023 03:26 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:FRESNO EOC KINGS CANYON HEAD STARTFACILITY NUMBER:
103801189
ADMINISTRATOR:DAILEY, ESTELLEFACILITY TYPE:
850
ADDRESS:4995 E. BALCHTELEPHONE:
(559) 263-1205
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 43DATE:
05/30/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Tamikio SimpsonTIME COMPLETED:
03:30 PM
NARRATIVE
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On 05/30/2023 Licensing Program Analyst (LPA) Julie Baptista conducted an unannounced inspection at the facility. Licensee is Fresno EOC. LPA met with Director, Tamikio Simpson and explained purpose of visit and took a census.
On 4/20/2023 the Fresno District Office received an unusual incident report regarding two children where one child touched another child inappropriately. Interview with staff in Child #1(C1) classroom revealed that C1 has been displaying behavior where C1 would touch other children inappropriately for several months before incident that occurred on 4/20/2023. C1 also would say curse words to staff and other children. The method used with C1 in class was redirection, giving more challenges to C1 like dancing or activities and also talking to C1 about good touch/bad touch. Several conversations with parent were conducted and on 3/27/2023 a parent conference was conducted with parent, director and S1 whereby a referral was issued for behavior. Per interviews with staff, C1's behavior was improving but inappropriate touching did not cease completely. On 4/20/2023 the incident reported to CCL was reported where C1 and another child were under climbing structure and C1 pulled C2 pant down and C1 touched C2 on bottom. Staff reported incident to licensing and other agency. Parent was advised to request an IEP for child. After 4/20/23 incident, per interviews with staff, C1 has continued displaying inappropriate behavior in at least two occasions since 4/20/23.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies is being cited: (see next page, 809 D) Facility representative was provided a copy of their appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Julie Baptista
LICENSING EVALUATOR SIGNATURE: DATE: 05/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/30/2023
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 05/30/2023 03:26 PM - It Cannot Be Edited


Created By: Julie Baptista On 05/30/2023 at 02:52 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
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FRESNO EOC KINGS CANYON HEAD START
FACILITY NUMBER: 103801189

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/02/2023
Section Cited
CCR
101223

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101223 Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights:
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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LIcensee agrees to provide plan to ensure personal rights of children in care.
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The licensee did not ensure children in care were not subject to inappropriate touching by another child in care.
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Type B
06/02/2023
Section Cited
CCR101212

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101212 Reporting Requirements
(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
(1) Events reported shall include the following:
(C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
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Licensee will provide plan of reporting unusual incidents to CCL.
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Based on interviews and record review, licensee did not report incidents of inappropriate touching between children to department when first occured.
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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:Julie Baptista
LICENSING EVALUATOR SIGNATURE:
DATE: 05/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/30/2023


LIC809 (FAS) - (06/04)
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