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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801211
Report Date: 09/12/2023
Date Signed: 10/06/2023 03:06:05 PM

Document Has Been Signed on 10/06/2023 03:06 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SELMA MIGRANT HEAD STARTFACILITY NUMBER:
103801211
ADMINISTRATOR:GARCIA, GILBERTFACILITY TYPE:
850
ADDRESS:12898 S. FOWLER AVENUETELEPHONE:
(559) 896-4479
CITY:SELMASTATE: CAZIP CODE:
93662
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 0DATE:
09/12/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Mattie Mendez, Executive DirectorTIME COMPLETED:
03:15 PM
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 10/6/2023, an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting was Executive Director Mattie Mendez , Deputy Director Norma Blanco, Head Start Director Maritza Gomez, Licensing Program Analyst (LPA) Ruby Ocegueda. Licensing Program Manager (LPM) Susie Fanning and Regional Manager Alice Juarez. The purpose of today's meeting was to discuss recent violations of Title 22 Regulations. The following issues/violations were discussed:

Type A violations:

On 8/28/2023, the facility was cited a Type A deficiency and assessed an immediate 500.00 civil penalty under CCR 101229 (a)(1) to address an absence of supervision that occurred when a child was reportedly left in the enclosed play yard without any staff supervision for approximately 3 minutes. The incident occurred on 8/8/2023 and was reported as an Unusual Incident to the Department as required.

On 6/22/2023, the facility was cited a Type A deficiency under CCR 101223(a)(3) to address personal rights of children. On 6/12/2023, facility representative reported an Unusual Incident involving a staff physically slapping a child in care. On 6/22/2023 during the staff interview process, multiple staff also reported that the same staff member was also observed attempting to abruptly tap a pencil towards a child’s fingers to avoid a child touching food before it was served (the exact date of this incident was unknown).

The facility representative has since provided proof of training that the staff obtained in multiple topics, including personal rights and active supervision. These training courses were discussed in detail today with the administrative staff present today who were encouraged to continue to provide these training's to newly hired staff and were reminded to continue to report any unusual incidents to the Department. Report continued to 809-C

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: SELMA MIGRANT HEAD START
FACILITY NUMBER: 103801211
VISIT DATE: 09/12/2023
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
26
27
28
29
30
31
32
Executive Director and the other administrative staff named above were reminded that the facility staff are required to ensure that the health, safety, and personal rights of children in care remains protected at all times. It was discussed that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the child care facility to the Legal Division for possible Administrative Action. A copy of this signed report was provided to Executive Director Mattie Mendez.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2