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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808531
Report Date: 08/21/2023
Date Signed: 08/21/2023 10:56:30 AM

Document Has Been Signed on 08/21/2023 10:56 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:NEW LIFE FIGARDEN SCHOOLFACILITY NUMBER:
103808531
ADMINISTRATOR:DOMINIQUE ALDAZ-FERGUSONFACILITY TYPE:
830
ADDRESS:4230 W. FIG GARDEN DR.TELEPHONE:
(559) 225-8687
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 9DATE:
08/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Dominique Aldaz-FergusonTIME COMPLETED:
11:10 AM
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On 08/21/2023, Licensing Program Analyst (LPA) Ka Vang conducted an unannounced case management inspection. LPA met with Site Supervisor Dominique Aldez-Ferguson. A tour of the inside facility was conducted, and a census was taken. LPA explained to Dominique the purpose today's inspection was to discuss an unusual incident that occurred on 08/16/2023, in which child #1 received a head injury in the Dino Room (Infant Room). This incident was reported to the Fresno Community Care Licensing Office on 08/17/2023 by Site Supervisor Dominique.

Dominique stated that on 08/16/2023, there were nine (9) infants and three (3) qualified staffs presented during free time play at 10:00 AM. Staff #2 was with four infants on one side of the room and Staff #1 and Staff #3 were with four (4) other infants on the other side of the room. Dominique stated that around 10:15 AM, Staff #1 brought infant #1 to her office and stated that infant felt backward and hit her head which was bleeding. Staff #2 applied first aide to infant by putting pressure on infant’s wound. Dominique immediately contacted parent via phone at 10:15 AM. At 11:15 AM (based on record sign-in and sign-out), infant was picked up by parents.



Interviewed with conducted with Staff #2 and staff #2 stated that at 10:00 AM, her and four (4) was in the classroom and they were engaged in active play on the floor near the infant rectangle table (w/ 2 chairs) and as all the four infants and her were actively play with the balls, infant #1 got up and lost her balance and instantly fell backward and her head hit the rectangle table. As infant #1 was crying, staff #2 immediately picked up infant and providing comfort while checking on infant and staff #2 observed that there was blood on the back of infant #1’s head. Staff #2 immediately applied pressure to infant’s open wound, at the same time, staff #1 was called to observed. Staff #1 then took infant #1 to site supervisor. Staff #1 stated that ice packet was not applied due to infant’s open wound. During the incident, staffs and site supervisor observed child was still awake; therefore, emergency personnel was not contacted.
(Continued on LIC809-C).
SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2023
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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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: NEW LIFE FIGARDEN SCHOOL
FACILITY NUMBER: 103808531
VISIT DATE: 08/21/2023
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Per site supervisor, infant was taken by parent to urgent care for observation and infant sustained a laceration which infant received two stiches. Per site supervisor, infant was not in care from the 08/16/2023 to 08/18/2023 and return on 08/21/2023. Site supervisor stated that infant’s mother wanted to provide care for infant on 08/17/2023 and 08/18/2023; therefore, infant #1 returned to care on 08/21/2023.

Per site supervisor, due to the incident injury, the classroom was rearranged by removing the rectangle table to the corner of the classroom to provide more space for infant active play.

LPA reviewed pertinent documentation at the facility. LPA verified teacher-child ratios were being followed during time of incident. Based on the information obtained, this appears to be an isolated incident and staff took appropriate measures to address the child's injury, following proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency was cited during today's visit. Exit interview conducted with the Site Supervisor Dominque Aldaz-Ferguson.
SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2023
LIC809 (FAS) - (06/04)
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