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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808261
Report Date: 03/19/2026
Date Signed: 03/19/2026 05:17:34 PM

Document Has Been Signed on 03/19/2026 05:17 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:CASTLE HEAD STARTFACILITY NUMBER:
243808261
ADMINISTRATOR/
DIRECTOR:		MARIA ROSIE MARTINEZFACILITY TYPE:
850
ADDRESS:2050 ACADEMYTELEPHONE:
(209) 381-5176
CITY:ATWATERSTATE: CAZIP CODE:
95301
CAPACITY: 76TOTAL ENROLLED CHILDREN: 76CENSUS: 14DATE:
03/19/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Malik Turner, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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On 03/19/2026, Licensing Program Analyst (LPA) Ka Vang met with Site Supervisor Malik Turner for an unannounced case management–incident inspection. A complete file review was conducted prior to today’s inspection. LPA toured the facility and a census was taken.

On 03/17/2026, an Unusual Incident Report (UIR) was received at the Community Care Licensing (CCL) Fresno Regional Office regarding an incident that occurred on 03/16/2026. According to the report, Child #1 (C1) was climbing a red slide when C1 fell backward approximately five feet high from the slide, landing on C1’s back and striking the back of C1’s head on the ground. The impact of the fall resulted in a 3/4-inch scratch with minimal bleeding and C1’s authorized representative transported C1 to urgent care for evaluation, and C1 was discharged with instructions for the authorized representative to monitor C1 for any signs of head injury.

During the inspection, LPA observed that the red slide play structure is cushioned with appropriate wood chips. LPA was unable to verify whether the play structure is designed for age appropriate use for the children, as there were no visible records on the play structure or documentation available in the file for review.

During interviews, it was disclosed that Staff #1 (S1) and Staff #2 (S2) were supervising fourteen children in the outdoor playground at the time of the incident. Interviews further disclosed that at the time of the incident, S2 was in the slide play structure supervising children and observed three children, including C1, climbing up from the bottom of the slide.

(Continued on LIC809-C).

NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams
NAME OF LICENSING PROGRAM ANALYST: Ka Vang
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2026
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CASTLE HEAD START
FACILITY NUMBER: 243808261
VISIT DATE: 03/19/2026
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S2 attempted to redirect the children by telling them not to climb; however, C1 continued climb the slide up to approximately five feet high, then turned around, lost balance, and fell from the slide.

Interviews also disclosed that although C1 had been advised not to climb, staff did not take additional steps to prevent C1 from climbing from the bottom of the slide, despite knowing this behavior posed a risk of falls and potential injury. Facility protocols expect staff to redirect children from climbing up the slide and instead have them use the stairs to safely access the slide.

This lack of intervention indicates that staff failed to provide a safe environment for C1, as they were aware that climbing up the slide posed a risk of injury.

Record review indicated that C1’s authorized representative took C1 for a follow-up evaluation at urgent care. C1 was discharged without hospitalization, and the authorized representative was instructed to closely monitor C1’s condition. Per medical record, child is to restricted from physical education for one week.

During this inspection, it was confirmed that staff failed to ensure that C1 was accorded with their personal right to a safe and healthful environment, resulting in C1 sustaining an injury while in care.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, the following deficiency is cited: (see LIC 809D).

Exit interview conducted and report was reviewed with Site Supervisor, Malik Turner. Malik was provided with appeal rights.

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.

NAME OF LICENSING PROGRAM MANAGER: Kari McWilliams
NAME OF LICENSING PROGRAM ANALYST: Ka Vang
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/19/2026 05:17 PM - It Cannot Be Edited


Created By: Ka Vang On 03/19/2026 at 04:43 PM
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: CASTLE HEAD START
FACILITY NUMBER: 243808261

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/02/2026
Section Cited
CCR
101223(a)(2)

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(a) The licensee shall ensure that each child is accorded the following personal rights. (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement is not met as evidenced by:
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Site supervisor agrees to submit proof to the Department that staff training will be conducted on the topic of playground supervision and safety, with a focus on the proper use of the slide for children in care. Site supervisor will submit proof of the play structure manufacturer’s information, along with the training topics and attendance, to the Department by 04/02/2026.
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Based on the record review and interviews conducted, it was determined that staff failed to ensure that C1’s personal rights were protected by not ensuring C1’s safety. C1 should not have been allowed to climb up from the bottom of the slide, which resulted in C1 losing balance, falling, and sustaining an injury. This failure poses a potential risk to the health, safety, and personal rights of children in care.
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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.
Kari McWilliams
NAME OF LICENSING PROGRAM MANAGER:
Ka Vang
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 03/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/19/2026


LIC809 (FAS) - (06/04)
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