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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810112
Report Date: 11/30/2023
Date Signed: 11/30/2023 11:25:16 AM

Document Has Been Signed on 11/30/2023 11:25 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:BCSD/MARTIN LUTHER KING, JR. ELEMENTARY PRE-KFACILITY NUMBER:
153810112
ADMINISTRATOR:CHERYL STAMPERFACILITY TYPE:
850
ADDRESS:1100 CITADEL STTELEPHONE:
(661) 631-4936
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 4DATE:
11/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Ana VillanuevaTIME COMPLETED:
11:45 AM
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 this date Licensing Program Analyst (LPA) Adrian Pizano conducted an unannounced Case Management inspection. LPA met with Teacher Ana Villanueva, 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 11/14/2023.

Teacher stated that on 11/13/2023, Child 1 was running up the stairs of the play structure to access the top f the slide when he tripped and fell. During the fall, Child 1 fell face first and struck Child 1’s mouth on the stair. First aid was administered and Child 1’s parent was notified. Parent sought medical attention for the child and one tooth had to be extracted. Child 1 was released and returned to care on 11/15/2023. LPA discussed supervision at the time of the incident, and it was determined that appropriate supervision was in place. Staff will continue to remind children to be careful and not run up the stairs or on the play structure. LPA inspected the area where the incident took place and did not observe any safety hazards or areas of concern.

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

No deficiencies cited during today’s inspection.

A copy of this report to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Adrian Pizano
LICENSING EVALUATOR SIGNATURE: DATE: 11/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/30/2023
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 1