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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808806
Report Date: 03/27/2024
Date Signed: 04/19/2024 01:29:59 PM

Document Has Been Signed on 04/19/2024 01:29 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:EDISON PRESCHOOLFACILITY NUMBER:
153808806
ADMINISTRATOR:ANDREWS, ERICAFACILITY TYPE:
850
ADDRESS:1036 VINELAND ROADTELEPHONE:
(661) 363-5394
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY: 152TOTAL ENROLLED CHILDREN: 152CENSUS: 2DATE:
03/27/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
07:01 AM
MET WITH:Rosalva Banuelos TIME COMPLETED:
09:30 AM
NARRATIVE
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On March 27, 2024, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced Case Management incident inspection. LPA met with Director Rosalva Banuelos and toured the facility and took a census. LPA informed Director Rosalva that the purpose for today’s inspection was to follow-up on an incident that was self-reported via an unusual incident report to Community Care Licensing (CCL) on March 25, 2024, where a child was found to be unsupervised in classroom twenty-six (26) for approximately one minute on March 19, 2024.

On March 19, 2024, at approximately 11:00 AM there were a total of fourteen (14) children, and three (3) staff present in classroom twenty-six (26). While the teachers were transiting the children from the classroom to outdoor play, S1 conducted a physical count of the children present outdoors and discovered that one child was missing.

S1 asked S2 to check the recently departed classroom for the missing child. When S2 opened the door to room twenty-six, (26) she observed C1 standing near a cabinet unsupervised.

Director Rosalva held a meeting with her staff on March 21, 2024 to focus on improving strategies pertaining to supervision.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D)

Continued on 809-C
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/27/2024
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: EDISON PRESCHOOL
FACILITY NUMBER: 153808806
VISIT DATE: 03/27/2024
NARRATIVE
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Upon receipt of a type A violation, the licensee shall post and provide copies of this licensing report to parents/guardians of the children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 was given to the licensee.

Rosalva Banuelos was informed that an informal meeting will be scheduled soon at the Fresno Child Care Regional Office.

An exit interview was conducted with Director, Rosalva Banuelos and a copy of this report was provided.

This report shall be made available to the public upon request.
LIC 9213 Notice of Site Visit was issued and is required to be posted for 30 days.
Appeal rights were discussed and issued.


End of report.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document is an Amendment of Original Document on 03/28/2024 02:01 PM


Created By: Paul Garcia On 03/27/2024 at 07:18 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
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: EDISON PRESCHOOL
FACILITY NUMBER: 153808806

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/27/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/27/2024
Section Cited
CCR
101229(a)(1)

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Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1). This regulation was not met by:
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Director Rosalva stated her staff will be provided additional training on “supervision” to prevent similar incidents from reoccurring. Proof of the training shall be submitted to LPA by or before April 12, 2024.

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On March 19, 2024, a child was unsupervised in classroom (26) for approximately one (1) minute. Based on a record review that was self-reported via an unusual Incident report dated March 25, 2024, facility staff failed to maintain 100% supervision of C1. This posed an immediate risk to the health, safety, and personal rights of the child in care.
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A copy of section 101229 Care and Supervision was provided.

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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:Gloria Reyes
LICENSING EVALUATOR NAME:Paul Garcia
LICENSING EVALUATOR SIGNATURE:
DATE: 03/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/29/2024


LIC809 (FAS) - (06/04)
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