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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150408807
Report Date: 04/14/2025
Date Signed: 04/14/2025 11:05:52 AM

Document Has Been Signed on 04/14/2025 11:05 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 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: 46DATE:
04/14/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:02 AM
MET WITH:Cheri MosleyTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
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On April 14 2025, Licensing Program Analysts (LPAs), Paul Garcia and Sonja Navarrette conducted an unannounced Case Management Incident Inspection. LPAs met with Director Cheri Mosley, then toured the facility inside and outside and took a census.

The purpose for the visit was to discuss a self-reported Unusual Incident Report received at the Fresno Community Care Licensing Office (CCL) on April 07, 2025, where child #1 (C1) sustained a broken clavicle requiring medical attention. LPA’s Sonja Navarrette and Paul Garcia conducted an interview with facility Director Cheri Mosley, reviewed child’s file, obtained documents and viewed surveillance video of the incident in its entirety.

LPA’s viewed video of the incident on the facility monitoring system. LPA’s observed child #1 sitting in her chair eating lunch. There were 3 staff members providing supervision to 21 children. LPA’s observed child #1 seated in her chair at the table with other children. Child #1 is then observed standing up from her chair then falling off the left side of chair to the ground. LPA’s then observed Staff #1 (S1) walk toward Child #1 that fell out of her chair to provide immediate assistance.

Interview with Director Mosley reported the child was taken to the isolation room, her mother was contacted. The mother of C1 requested child to remain in care. Staff placed an ice pack on child’s left shoulder. Director reported initially Child #1 did not display physical indication of pain. Child #1 was closely monitored until 1:30PM, but while Director was holding/comforting child in her arms, child began to moan and cry. Director then contacted child’s mother again and advised her C1 was in pain and needed to be picked up from care. Mother sent grandmother to pick up child. Director reported on 04/08/2025 mother contacted facility and reported Child #1 had a broken clavicle and will not be returning to care for 2-3 weeks. Director Mosely
NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Paul Garcia
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: 04/14/2025
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reported the mother has not yet provided medical documents but will provide the medical report upon child’s return.


Based on an interview and video viewed this appears to be an isolated incident. LPA determined that this was a complete accident and there was sufficient supervision at the time. Staff took appropriate measures to address the incident and injury. This facility followed appropriate reporting requirements.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.
Exit interview conducted with Director, Cheri Mosley. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Cynthia Brannon
NAME OF LICENSING PROGRAM ANALYST: Paul Garcia
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/14/2025
LIC809 (FAS) - (06/04)
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