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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150406087
Report Date: 04/30/2024
Date Signed: 04/30/2024 03:02:01 PM

Document Has Been Signed on 04/30/2024 03:02 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CANYON HILLS PRESCHOOLFACILITY NUMBER:
150406087
ADMINISTRATOR/
DIRECTOR:		SARAH VINSONFACILITY TYPE:
850
ADDRESS:7001 AUBURN STREETTELEPHONE:
(661) 871-0880
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 146TOTAL ENROLLED CHILDREN: 146CENSUS: 55DATE:
04/30/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Sarah Vinson TIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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 Tuesday, April 30, 2024, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced Case Management inspection. LPA Garcia met with Sarah Vinson and explained that the purpose for the visit was to follow up on an Unusual Incident Report (UIR) that occurred on Friday, April 26, 2024, that pertained to an injury child #1 (C1) received while playing Red Light Green Light with other children. While children were actively playing Red Light Green Light, C1 tripped and hit his/her forehead on a brick wall located in the outdoor play yard that resulted in a one-inch laceration. Loss of consciousness did not occur.

First aid was administered by staff, and parent contact was made. C1 was picked up by his/her mother and taken to the hospital for an evaluation. C1 received one stich on his forehead. C1 was discharged on Friday, April 26, 2024, and returned to care on Monday, April 29, 2024, with no restrictions.

This agency has interviewed staff, reviewed records, obtained records and determined that this was an isolated incident as the facility handled the situation per procedure.


Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiencies cited during today's visit.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2024
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 1