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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808806
Report Date: 09/28/2023
Date Signed: 09/28/2023 02:12:42 PM

Document Has Been Signed on 09/28/2023 02:12 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: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: 95DATE:
09/28/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Rosalva BanuelosTIME COMPLETED:
12:00 PM
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On September 28, 2023, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced Case Management inspection. LPA met with Site Supervisor (SS), Rosalva Banuelos. LPA Garcia toured the facility and took a census. The purpose of today’s inspection was to discuss an incident that was reported to Community Care Licensing (CCL) on September 18, 2023 where staff 1 was reported to have utilized forced to make child 1 take a nap by Staff 2. Staff 2 is the person who reported the incident to SS. This incident was reported to have occurred in Classroom 3 at approximately 12:00 PM.

LPA spoke to SS regarding the incident. Staff 1 has been put on Paid Administrative Leave effective September 18, 2023. This school district is actively moving forward with a complete internal investigation of this incident. An interview regarding the events which were reported to have taken place was conducted between LPA and SS.

Staff 2 was interviewed and given the opportunity to provide additional details of what she saw while in the classroom with Staff 1.

This facility took appropriate actions. This Facility will also voluntarily provide additional training to all their childcare staff to reenforce staffs knowledge in napping procedures.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

A notice of site visit was issued and must remain posted for 30 days.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2023
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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