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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808018
Report Date: 01/15/2025
Date Signed: 01/15/2025 01:17:10 PM

Document Has Been Signed on 01/15/2025 01:17 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SUNRISE VILLA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808018
ADMINISTRATOR/
DIRECTOR:		JACINTA ZEPEDAFACILITY TYPE:
850
ADDRESS:1600 POPLAR AVENUETELEPHONE:
(661) 758-0129
CITY:WASCOSTATE: CAZIP CODE:
93280
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 13DATE:
01/15/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Jacinta ZepedaTIME VISIT/
INSPECTION COMPLETED:
01:40 PM
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 01/15/2025 Licensing Program Analyst (LPA) Lady Cabrera arrived at the facility to conduct an unannounced Case Management inspection. LPA met with Director Jacinta Zepeda. LPA toured the facility inside and out and a census was taken. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 10/22/2024 regarding a child receiving an injury on the outdoor play area.

During today’s inspection, LPA reviewed the play yard and the location of staff at the time of the incident. Play structure is surrounded by playground rubber mulch. There is adequate cushioning in the play yard to absorb falls in and around the high climbing areas. Staff reported children are only allowed to run in rubber mulch area. Staff 1 was supervising and monitoring Zone 1/Zone 2 and Staff 2 was supervising Zone 3 at the time of the incident. There were 15 children present. Child 1 was being chased by Child 2 in mulch area, when Child 2 looked back, tripped, and hit the right side of the child's nose on the slide. Staff 1 witnessed the incident and observed Child 1 having a nosebleed. Child 1 cried and informed Staff 1 "it hurt." Staff 1 immediately requested help from Staff 3 and Child 1 was assisted to the office. Parents were notified immediately. Parents picked up Child 1 shortly and transported child to be medically evaluated. Parent provided medical note to facility indicating Child 1 was to return with no restrictions.

Based on the interviews conducted and LPA observation it was determined that Child 1 sustained an injury after tripping and hitting the edge of the slide. Staff did a sweep of the yard before the children went outside and there was no tripping or slipping hazards present at the time of the incident. Staff provided first aid and care to the injured child.

This appears to be an isolated incident and staff took appropriate measures to address the child and followed the appropriate policies, regulations, and reporting requirements.



Continued on 809C
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE: DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/15/2025
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: SUNRISE VILLA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808018
VISIT DATE: 01/15/2025
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
26
27
28
29
30
31
32
Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

An exit interview was conducted with Director, Jacinta Zepeda and Appeal Rights were provided and discussed.

A Notice of Site Visit was provided and will remain posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2025
LIC809 (FAS) - (06/04)
Page: 2 of 2