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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808136
Report Date: 02/07/2025
Date Signed: 02/07/2025 10:09:14 AM

Document Has Been Signed on 02/07/2025 10:09 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FRESNO EOC DAKOTA CIRCLE HEAD STARTFACILITY NUMBER:
103808136
ADMINISTRATOR/
DIRECTOR:
SUSAN MCDONALDFACILITY TYPE:
850
ADDRESS:4150 DAKOTATELEPHONE:
(559) 263-1205
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 175TOTAL ENROLLED CHILDREN: 175CENSUS: 96DATE:
02/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:JESSICA DENNTIME VISIT/
INSPECTION COMPLETED:
10:18 AM
NARRATIVE
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On 02/07/2025, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez conducted an unannounced Case Management Inspection. LPA met with Teacher 3, Jessica Denn who accompanied LPA during a tour of the facility and took a census. LPA counted a total 96 children. LPA observed that a LIC308 for designation of facility responsibility was in place for Teacher 3, Jessica Denn. LPA explained the purposed of the inspection. The purpose of the inspection was due to the Department receiving information regarding an incident that occurred with Child #1 on 01/16/2025. A report to the Department was made on 01/22/2025. It was reported that child was left without supervision for a proximately five (5) minutes in the outdoor play area. LPA Vega-Gonzalez was made aware by Jessica Denn that all staff obtained a training on 02/04/2025 regarding the Supervision of Children in care. LPA obtained copies of training materials.
Due to the incident of a child being left unsupervised, this center is being cited a Type A under the Title 22 CCR 101229 Responsibility for Providing Care and Supervision.

LPA reviewed the Title 22 CCR 101212 Reporting Requirements with Teacher 3, Jessica Denn. Regulations states that, “…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…” This requirement was not met and a Type B deficiency was cited. The incident had occurred on 01/16/2025 and report was made on 01/22/2025.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are being cited: (see next page). Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Teacher 3, Jessica Denn.

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: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 02/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 02/07/2025 10:09 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 02/07/2025 at 09:27 AM
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 DAKOTA CIRCLE HEAD START

FACILITY NUMBER: 103808136

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/07/2025
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (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, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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LPA was provided proof that Licensee had conducted a staff meeting/training regarding Supervision of Children. LPA obtained copies. Licensee will also submit proof of staff attendance to the Department.
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This requirement was not met as evidenced by: Based on record review and interview. The Department was notified that Child 1 and was left unsupervised by a total of three (3) staff for approximately 5 minutes, which poses an immediate health, safety or personal rights risk to persons in care.
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LPA informed Licensee that the Department will be in communications with Licensee for an in-office meeting at the Fresno Regional Office.

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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:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2025


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Citations on this Visit Report are Under Appeal!


Created By: Stephanie Vega-Gonzalez On 02/07/2025 at 09:36 AM
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 DAKOTA CIRCLE HEAD START

FACILITY NUMBER: 103808136

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Under Appeal
Type B
02/18/2025
Section Cited
CCR
101212(d)(1)(C)

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101212(d)(1)(C) Reporting Requirements (d) Upon the occurrence, ... (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...
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Licensee stated that the desginated staff will review video on the ccld.childcarevideos.org website titled, Child Care Reporting Requirements. Licensee will provide the Department with a written statement on what the staff have learned.
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This requirement was not met as evidenced by: Based on record review and interview. The Department was not notified wihtin the Department's next working day and during normal business hours. This poses a potential risk to the health, safety, or personal rights of children.
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Licensee will communicate with the Department if they have any questions or concerns.

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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:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2025


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