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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150408807
Report Date: 12/17/2024
Date Signed: 12/17/2024 12:32:00 PM

Document Has Been Signed on 12/17/2024 12:32 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:ST. JOHN'S CHILDREN CENTERFACILITY NUMBER:
150408807
ADMINISTRATOR/
DIRECTOR:		MOSLEY, CHERIFACILITY TYPE:
850
ADDRESS:4500 BUENA VISTA RD.TELEPHONE:
(661) 664-9127
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 144TOTAL ENROLLED CHILDREN: 144CENSUS: 102DATE:
12/17/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Cheri MosleyTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 12/17/2024, Licensing Program Analyst (LPA), Christopher Burnias met with Director, Cheri Mosley for an unannounced Case Management incident inspection. LPA toured the facility, and a census was taken. The purpose of today's inspection was to address an unusual incident reported to the Fresno Community Care Licensing (CCL) office.

LPA interviewed Director, along with Staff 1 (S1), Staff 2 (S2), and Staff 3 (S3), who were present during the incident on 12/02/2024. Information obtained during all interviews indicate that on 12/02/2024 at or around 11:24 AM Child 1 (C1) was playing outside on the playground where they fell and hit their head. Director states that there were 5 teachers and 40 students in the playground at the time. S(1) states that they observed C1 running with other children in the playground area, turn to go another direction and while doing so, tripped and fell on the ground hitting their head on the concrete walkway causing a bump on their forehead and a scraped upper lip. S1 states they were approximately 10 feet away from the child when they observed the incident.

S2 states they were also present at the time of the incident. S2 states they were within 10 feet of the incident but was facing a different direction and did not directly see the fall. S2 states that they heard the child fall and when they turned around, they saw C1 on the floor. S1 and S2 state that they went to the child and S2 stated that they observed the child with a bump on their head, a scrape on their nose, and a cut on their lip from possibly biting their lip from the fall.

S3 states they were also present at the time of the incident, but were about 20 feet away facing a different direction. S3 states that they heard the child fall and saw that S2 was taking the child to the restroom. S2 and S3 state that they assisted with cleaning up the child and treating their wound with an ice pack. S3 states that they called the child’s parent and that C1 was picked up within 30 minutes.

**Continued on LIC 809-C**
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE: DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/17/2024
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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: ST. JOHN'S CHILDREN CENTER
FACILITY NUMBER: 150408807
VISIT DATE: 12/17/2024
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According to Director, C1’s parent took the child to their pediatrician who determined that the child experienced a slight concussion and that the wounds did not require stitches. Director states that the child was absent on 12/03/2024 and on 12/04/2024 and had returned back to the facility on 12/05/2024. Director states that the child appears to be fine, and that the child’s parent advised staff to watch for signs of dizziness or nausea, and to ensure that the child is not running. Director states that the child was able to resume full activities the following week, and that staff have not observed any side effects from the injury.

LPA inspected the playground area and saw a grassy area, a concrete walkway, and age appropriate toys and play equipment. LPA did not observe any tripping hazards present in the area where the child fell.

Based on the information obtained through interviews, LPA determined there was no lack of supervision, facility took appropriate measures to assess the situation, and that reporting requirements were met. Facility followed proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited during today's visit. An exit interview was conducted with Director Cheri Mosley, and appeal rights were provided.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and is required to be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Christopher Burnias
LICENSING EVALUATOR SIGNATURE:

DATE: 12/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2024
LIC809 (FAS) - (06/04)
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