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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203801367
Report Date: 02/26/2024
Date Signed: 02/26/2024 10:28:41 AM

Document Has Been Signed on 02/26/2024 10:28 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:PIXIE LANDFACILITY NUMBER:
203801367
ADMINISTRATOR:JENKINS, TINAFACILITY TYPE:
850
ADDRESS:3290 SUNSETTELEPHONE:
(559) 673-2223
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 11DATE:
02/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Tina JenkinsTIME COMPLETED:
10:40 AM
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On 02/26/24, Licensing Program Analyst (LPA) Denisia Jimenez arrived at the facility to conduct an unannounced Case Management inspection. LPA met with Director, Tina Jenkins. LPA toured the facility, and a census was taken. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 02/22/24. On 02/21/24 Child #1 was playing outside on top of a helicopter structure pushing other children. Staff #1 re-directed child #1 to stop pushing other children and Staff #1 proceeded to physically remove child #1. Child #1 attempted to go back up to the helicopter structure and Staff #1 held on to child #1 by the wrist so it wouldn’t go back up to the play structure. Child #1 attempted to throw himself on the ground and that’s when Staff #1 released the Child #1 wrist. Child #1 began to cry stating its wrist hurt. Parent was contacted to pick up child and child was taking to Valley Children’s for a follow up. Director indicated will she have training on re-directing and personal rights. LPA and Director discussed facilities policies and procedures. Child #1 continues to attend the facility and is fine. There have been no further issues.

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

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.


Exit interview conducted and report was reviewed with Director, Tina Jenkins.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2024
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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