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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808615
Report Date: 06/15/2023
Date Signed: 06/15/2023 12:19:25 PM

Document Has Been Signed on 06/15/2023 12:19 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:TIERRA SERENA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153808615
ADMINISTRATOR:LORENA PALOMOFACILITY TYPE:
850
ADDRESS:17213 CENTRAL VALLEY HWYTELEPHONE:
(661) 746-0671
CITY:SHAFTERSTATE: CAZIP CODE:
93263
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 19DATE:
06/15/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Lorena Palomo - Licensee TIME COMPLETED:
12:10 PM
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On 6/15/23, Licensing Program Analyst (LPA) Jessika Thompson met with Director Lorena Palomo for an unannounced case management inspection. A complete file review was conducted prior to today's inspection. LPA toured the facility, and a census was taken.

An Unusual Incident was reported to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 5/24/23 during a transitional period of the day.
It was reported that Staff #1 was providing supervision to children utilizing the preschool restroom before meal time when a small lapse in supervision occurred. Staff stated that once all children finished using the restroom, children were walked back into the preschool classroom, a few steps away, where Staff #2 and Staff #3 were located. It is noted that the restroom does not contain a door, and is located directly adjacent to the preschool classroom. Staff#1 reported that she checked the restroom after children's usage to ensure all children were back within the preschool classroom. It was reported that while Staff #2 and Staff #3 were sitting at tables with children within the classroom, a child stated that they needed to use the restroom again and began walking toward the restroom. Staff #2 reported to management that she observed the child enter the restroom; therefore, she reportedly called out for Staff #1, whom she believed was still in restroom, although she was not. Staff #2 reported that when she did not receive an answer from Staff #1, she immediately went to assist the child. Staff reported that there may have been a less than one minute lapse of supervision of the child.

Director stated that following this occurrence, interventions included discussing supervision and teacher zoning to ensure children are never unattended in the restroom. Staff will also routinely talk to children about waiting for teachers to assist in going the bathroom. Additionally, a gate has been added to restroom threshold which restricts children from entering the restroom without the assistance of a staff person (see next page, LIC809C).
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: TIERRA SERENA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153808615
VISIT DATE: 06/15/2023
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Based on the information obtained, LPA determined that the licensee took appropriate measures to address this incident.

Per California Code of Regulations, Title 22, Division 12, no deficiency was cited during today's inspection. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Director Palomo.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
LIC809 (FAS) - (06/04)
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