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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801099
Report Date: 05/21/2024
Date Signed: 05/21/2024 11:57:40 AM

Document Has Been Signed on 05/21/2024 11:57 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
153801099
ADMINISTRATOR/
DIRECTOR:		MORENO, MARY ANNFACILITY TYPE:
850
ADDRESS:9903 CAMINO MEDIATELEPHONE:
(661) 665-7790
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: 64DATE:
05/21/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Mary Ann MorenoTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On May 21, 2024 Licensing Program Analysts (LPAs), Kari McWilliams and Chris Burnias conducted an unannounced case management inspection. LPAs toured the facility and a census was taken. LPAs met with Director Mary Ann Moreno and informed Director Moreno the purpose of todays inspection.

On April 25, 2024 it was reported the to Fresno South Regional office that on April 23, 2024 child #1(C1) was running in the wood chips chasing another child and tripped over the edge of the wood chips box area, when they fell and landed on their hands. C1 was observed holding their wrist when they got back up. Staff #1 (S1) was standing about 10 ft. away from child and observed C1 trip and fall. C1 was taken to the office and an ice pack was applied. Parent/Guardian was notified and picked up C1. It was reported that C1 was taken to urgent care and diagnosed with a hairline fracture on her elbow.

During today’s inspection LPAs observed the area of the wood chips, interviewed staff involved and gathered more information. LPA observed that there was a 10 inch difference between the bottom of the wood chip box and the top making it a tripping hazard to children in care.

It was reported that there were 31 children present outside when the incident occurred and there were four staff present outside.

C1 returned to the facility on April 29, 2024. Director Moreno reports that child attends Monday, Tuesday and Thursdays. C1 returned with no restrictions, however guardian requested C1 to stay out of the wood chip area and the sand area.

Per California Code of Regulations Title 22, Division 12, Chapter 1, the following deficiency was cited, please see following page. Notice of Site Inspection to be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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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Document Has Been Signed on 05/21/2024 11:57 AM - It Cannot Be Edited


Created By: Kari McWilliams On 05/21/2024 at 11:22 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CHILDTIME CHILDREN'S CENTER
FACILITY NUMBER: 153801099

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/24/2024
Section Cited
CCR
101238.2(d)(1)

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(d) The surface of the outdoor activity space shall be maintained: (1) In a safe condition for the activities planned. This requirment was not met by evidenced of
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Director Moreno stated that the facility will make the wood chip box inaccessible to the children by the above POC date, Director Moreno stated that they are making the box a garden in June. Director will send a picture to LPA by POC date of box being inacccesible to children.
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LPA observed that there is a 10 inch gap between the bottom of the wood chip box and the top this making a tripping hazard thus being a portential health, safety or persona rightsl risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Luisa Gavoutian
LICENSING EVALUATOR NAME:Kari McWilliams
LICENSING EVALUATOR SIGNATURE:
DATE: 05/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/21/2024


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