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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153810189
Report Date: 08/14/2023
Date Signed: 08/14/2023 11:09:38 AM

Document Has Been Signed on 08/14/2023 11:09 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:ESCUELITA HERNANDEZ LITTLE SCHOOLFACILITY NUMBER:
153810189
ADMINISTRATOR:HERNANDEZ, RAQUELFACILITY TYPE:
830
ADDRESS:909 CASTRO LNTELEPHONE:
(661) 422-5437
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 9TOTAL ENROLLED CHILDREN: 9CENSUS: 5DATE:
08/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Maria GarciaTIME COMPLETED:
11:20 AM
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On 08/14/2023, Licensing Program Analysts (LPAs) Candis Rodriguez and Claribel Soto conducted an unannounced case management inspection at facility. LPAs met with Site Supervisor Maria Garcia and took a census.

On 08/03/2023, facility reported an incident occurred where Child #1 sustained an injury to their arm by Teacher #1 who pulled Child #1 away from another child to avoid children falling on top of each other.

LPAs interviewed Teacher #1 and Teacher #2. LPAs reviewed Child #1's file. Child #1 has since returned to the facility and is doing well. Based on interviews conducted and record review, it was determined the incident was an accident and Teacher #1 reacted appropriately, also calming Child #1, and reporting incident to Director. Facility reported to Child #1's parent immediately as well.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Site Supervisor.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Candis Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2023
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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