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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163801632
Report Date: 09/20/2024
Date Signed: 09/20/2024 12:40:39 PM

Document Has Been Signed on 09/20/2024 12:40 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HOME GARDEN LEARNING CENTERFACILITY NUMBER:
163801632
ADMINISTRATOR/
DIRECTOR:		SIBRIAN, BARBARAFACILITY TYPE:
850
ADDRESS:9726 HOME AVENUETELEPHONE:
(559) 582-7075
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 10DATE:
09/20/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Shoua MouaTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 09/20/2024, Licensing Program Analyst (LPA) Octavia Nolan and Licensing Program Manager (LPM) Gloria Reyes conducted an unannounced case management inspection. LPA and LPM met with Site Supervisor Shoua Moua. LPA and LPM toured the facility inside and outside and took a census.

On 09/13/2024, the facility notified Community Care Licensing Office (CCL) via telephone regarding an Unusual Incident. On 09/12/2024, Child #1 went to wash their hands in the restroom with Teacher #1. Teacher #1 was putting an empty plastic bottle on top of the cabinet, when it fell and cut Child #1’s nose. Teacher #1 immediately attended to Child #1 and administered first aid. Child #1’s parent was called, and they were picked up approximately 30 minutes later. The parent took Child #1 to the doctor, where they were treated without complications and released. The parent kept Child #1 home the next day. Child #1 returned to care on Monday, September 16th and is doing fine.

LPA and LPM inspected the area where the incident took place. There are no hazards present in the restroom and no items were on top of the cabinets. This appears to be an isolated incident and staff took appropriate measures to address the child’s injury following appropriate Agency policies and procedures.

Exit interview conducted and report was reviewed with Site Supervisor Shoua Moua. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1, 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.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2024
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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