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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808916
Report Date: 01/25/2024
Date Signed: 01/25/2024 12:16:44 PM

Document Has Been Signed on 01/25/2024 12:16 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:EDUCARE EARLY STARS PRESCHOOLFACILITY NUMBER:
103808916
ADMINISTRATOR:ANNA GONZALESFACILITY TYPE:
850
ADDRESS:5202 N. BLYTHETELEPHONE:
(559) 271-7827
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 45DATE:
01/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Mai Chang-Site SupervisorTIME COMPLETED:
12:30 PM
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On 01/25/2024, Licensing Program Analyst (LPA) Ka Vang conducted an unannounced case management inspection. LPA toured the facility, and a census was taken. LPA met with Site Supervisor Mai Chang. The purpose today's inspection was to discuss an unusual incident that occurred on 01/23/2024, in which Child #1 have an injury on Child #1’s right arm. This incident was reported to Community Care Licensing (CCL)-Fresno Office on 01/23/2024 by Site Supervisor Mia Chang.


Per interview, Site Supervisor stated that she was not present at the time of the incident occurred. She was made aware of the incident as Staff #2 informed her.

Per interview with Staff #1, on 01/23/2024 at 3:20 PM, Staff #1 and eight daycare children were on the playground for their PM recess. As Child #1 was on the top of the slide play structure “Clever Climbers” and ready to slide down, Staff #1 observed that Child #1 instantly lost balance and slide down on the slide with her feet and knee bent in a sitting position. As Child #1 landed on Child #1’s right side of the body, it caused Child #1 to landed on her right arm. Staff #1 stated that due to the speed of her sliding and landing, there may have been an impact on Child #1’s right arm. Staff #1 stated that she immediately went to Child #1 and comfort Child #1 while observed that Child #1 did not have opened wound, bleeding or swallow on her bodies. As Staff #1 assisting Child #1, Child #1 was crying and stated that her right arm was hurting. Staff #1 immediately called Staff #2 to come out from the classroom to assisted Staff #1. Staff #2 brought ice pack from the classroom and applied the ice pack on Child #1’s right arm. Child #1’s parent was immediately contact after they tended to Child #1.

Interviewed with conducted with Staff #2 and Staff #2 stated that she was not present at the time of the incident occurred; however, Staff #1 called, and Staff #2 assisted with Staff #1 by applying first aide to child with ice packet on child’s right arm as child was crying.

(Continued on LIC809-C).
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2024
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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: EDUCARE EARLY STARS PRESCHOOL
FACILITY NUMBER: 103808916
VISIT DATE: 01/25/2024
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Per Staff #2, she immediately contacted Child #1’s parent at 3:30 PM to pick up child as child was not feeling well. Staff #2 stated that at 3:45 PM, Child #1’s parent arrived, and Child #1’s parent was informed of the incident. Child #1’s parent took child home. On 01/24/2024 at 9:45 AM, Staff #2 contacted Child #1’s parent to follow-up with the incident as child did not attend the daycare on that day. Staff #2 stated that during their phone conversation, Child #1’s parent disclosed that child was taken to the hospital on 01/23/2024 and Child #1 was treated for a fracture on Child #1’s right arm. Child #1’ parent stated that Child #1 is doing well; however, Child #1’s parent will keep child home and rest as child still in pain due to the fracture. Child’s parent disclosed that child will return to the facility on 01/29/2024.

During the inspection, LPA observed the “Clever Climbers” play structure is age appropriate. LPA observed that there is enough wood cushion on the bottom of the playground. 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 Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiency has been cited during today’s inspection. Exit interview conducted and report was reviewed with Site Supervisor Mai Chang.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Ka Vang
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2024
LIC809 (FAS) - (06/04)
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