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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155601026
Report Date: 02/13/2024
Date Signed: 02/13/2024 01:34:08 PM

Document Has Been Signed on 02/13/2024 01:34 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:CRESCENT PRESCHOOL ROOMS K7 & K8FACILITY NUMBER:
155601026
ADMINISTRATOR:PENA, ANNAFACILITY TYPE:
850
ADDRESS:6600 CRESCENT SCHOOL DRTELEPHONE:
(661) 885-3395
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 15DATE:
02/13/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Kasmir Flores TIME COMPLETED:
01:45 PM
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On 02/13/2024 Licensing Program Analyst (LPA) Adrian Pizano conducted an unannounced Case Management inspection. LPA met with Teacher Kashmir Flores, 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 02/01/2024.

Director stated that on 01/30/2024, Child 1 was running outside in the playground area when he tripped and fell on his arm. First aid was administered and Child 1’s parent was notified. Parent decided not to pick up the child until end of day. On 01/31/2024, Parent took Child 1 to the urgent care as his arm was still hurting him and was diagnosed with a fractured elbow. Child 1 was released and returned to care on 02/05/2024 with a cast. LPA observed Child 1 currently still has a cast on his arm. 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 when playing outside. 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: 02/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/13/2024
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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