153810189-3-8-2024-57-CC-LCAA-D36QS4-20240308112456

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 153810189
Report Date: 03/08/2024
Date Signed: 03/08/2024 11:25:01 AM

Document Has Been Signed on 03/08/2024 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:	ESCUELITA HERNANDEZ LITTLE SCHOOL		FACILITY NUMBER:	153810189
ADMINISTRATOR:	HERNANDEZ, RAQUEL		FACILITY TYPE:	830
ADDRESS:	909 CASTRO LN		TELEPHONE:	(661) 422-5437
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93304
CAPACITY: 9	TOTAL ENROLLED CHILDREN: 9	CENSUS: 7	DATE:	03/08/2024
TYPE OF VISIT:	Case Management - Other	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Raquel Hernadez		TIME COMPLETED:	11:40 AM

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On this date, Licensing Program Analyst (LPA) Lady Cabrera met with Director Raquel Hernandez for an unannounced case management inspection. LPA toured the facility, and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 01/23/2024, where a day-care Infant 1 fell, and hit the back of their head.

At the time of the incident, there were two staff, and four infants present. Two infants were sitting down at the table eating a snack and the two older infants (Infant 1 and Infant 2) were playing together. Teacher 1 was supervising the smaller infants as they finished their snack. Teacher 2 was cleaning the toys on the floor next to the carpeted area in the center of the classroom, about one to two feet from Infant 1 and Infant 2. Infant 1 and Infant 2 ran in circles with each other and their stomachs collided with one another. Infant 1 hit the back of their head on the carpeted area, while Infant 2 fell on their bottom. Infant 1 started crying while Infant 2 continued running on the carpeted area.

Teacher 2 comforted Infant 1 on the staff’s lap and kept Infant 1 under close observation. Shortly, Teacher 2 observed that Infant 1 had their fist clenched, infant’s body became stiff, and their eyes roll back for a few seconds. Teacher 2 immediately placed Infant 1 in the recovery position. Director Raquel Hernandez contacted 911 and notified the infant’s parents. Ambulance responded and transported Infant 1 to the hospital for further evaluation. The parent reported CT scan results revealed no signs of head injury and had no bump on the infant’s head. Emergency doctor reported infant experienced “breath holding spell” and had no signs of concussion or injury. No suspicion of seizure. The following day, the parents attended a pediatrician appointment. The pediatrician reported the infant did not experience a seizure and believed it was a mild concussion that it did not show up in the CT scan. As of today, there has been no other incidents at the facility regarding Infant 1.

During today’s visit, LPA observed the carpeted area in the center of the classroom where the incident took place and determined that appropriate supervision and ratio was in place.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: ESCUELITA HERNANDEZ LITTLE SCHOOL	FACILITY NUMBER: 153810189
	VISIT DATE: 03/08/2024

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LPA met with Teacher 1 and Teacher 2 and confirmed there were no toys or furniture in the carpeted play area. Director Hernandez indicated the child returned to care on 01/25/2024 with no restrictions. Director Hernandez states they are still able to meet the daily needs of the infant..

This appears to be an isolated incident and staff took appropriate measures to address the infant's injury, following appropriate policies, regulations, and report requirements.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today’s inspection.

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.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

LIC809 (FAS) - (06/04)

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