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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240406627
Report Date: 03/18/2024
Date Signed: 03/18/2024 07:48:14 PM

Document Has Been Signed on 03/18/2024 07:48 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MERCED CHILD DEVELOPMENTFACILITY NUMBER:
240406627
ADMINISTRATOR:RAMIREZ, ADALUZFACILITY TYPE:
850
ADDRESS:720 & 724 SOUTH HIGHWAY 59TELEPHONE:
(209) 722-7129
CITY:MERCEDSTATE: CAZIP CODE:
95341
CAPACITY: 100TOTAL ENROLLED CHILDREN: 41CENSUS: 32DATE:
03/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Adaluz RamirezTIME COMPLETED:
12:30 PM
NARRATIVE
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On 3/18/2024 Licensing Program Analyst (LPA) Yesenia Fierro conducted a Case Management Inspection regarding an incident that was self-reported to the department on 1/23/2024 regarding care and supervision involving children. LPA met with Director, Adaluz Ramirez, and explained the reason for the inspection. LPA conducted a tour of the facility, took a census, reviewed records, and interviewed staff.

The purpose for today's inspection was to discuss two incidents that occurred on January 10, 2024, and January 11, 2024., involving child 1, child 2, child 3 and child 4 inappropriately touching each other. On January 10, 2024, during the P.M. child 1 inappropriately touched child 3 while they were dancing. On January 10, 2024, A.M. child 2 and child 4 were playing on a play structure (bus), child 2 displayed inappropriate gesture towards child 4. On January 11, 2024, A.M. child 2 was on the slide and displayed inappropriate behavior towards child 4.

LPA conducted interviews with staff 1 and staff 2 who were present during the 2 different incidents. LPA determined that there was no lack of supervision but there was a violation of personal rights.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiencies are to be cited: (see next page, 809 D). Licensee was provided a copy of their appeal rights.

Exit interview conducted and report was reviewed with Director, Adaluz Ramirez

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2024
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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Document Has Been Signed on 03/18/2024 07:48 PM - It Cannot Be Edited


Created By: Yesenia Fierro On 03/18/2024 at 11:52 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MERCED CHILD DEVELOPMENT
FACILITY NUMBER: 240406627

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/19/2024
Section Cited
CCR
101223(a)(1)

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(a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
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Licensee will conduct a staff meeting discussing good and bad touches, keeping vigilant, reporting requirements, and positioning to maxiamize supervision when outdoors.

Licensee will be revising disaplinary steps on parent hand book to include inappropriate behavior/touches.
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This requirement was not meant as evidence by Staff self-admission that on multiple occasions children in care participated in inappropriate touching.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:
DATE: 03/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/18/2024


LIC809 (FAS) - (06/04)
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