<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808262
Report Date: 01/26/2024
Date Signed: 01/26/2024 11:33:52 AM

Document Has Been Signed on 01/26/2024 11:33 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:WESTSIDE HEAD START/EARLY HEAD STARTFACILITY NUMBER:
243808262
ADMINISTRATOR:MENDOZA, MISTYFACILITY TYPE:
850
ADDRESS:805 TEXASTELEPHONE:
(209) 827-5696
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 34DATE:
01/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Holly FerroTIME COMPLETED:
11:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 01/26/24, Licensing Program Analyst (LPA) Martha De Haro conducted an unannounced case management inspection. LPA toured the facility, and a census was taken. LPA met with Master Teacher Holly Ferro. The purpose of today's inspection was to discuss an unusual incident, which occurred on 01/23/24 in which a child was left alone in the playground.

During the case management inspection, LPA interviewed the master teacher as well as the preschool teachers and received and gathered additional documentation.

After conducting the case management inspection and interviewing staff, it was found that child #1 has a history of hiding in the playground per staff and as confirmed by the child’s mother. Per staff interviews, the children’s routine was broken up that day due to it being a rainy day. Per the teachers in Room 3, there was miscommunication and they ended up miscounting the children when bringing them in from playing outdoors as all of the children were excited and wanting to run inside due to the rain. Per both teachers in Room 3, child #1 was only left outdoors in the playground for a matter of “seconds” as the master teacher was immediately made aware that child #1 was outdoors by a parent who saw the child alone in the playground. The master teacher was then able to bring the child back to the classroom. Per staff, the mother was notified of the incident and the mother confirmed that the child likes to hide whenever they go to the park or at their home. Per Master Teacher Ms. Ferro, she held a meeting with all staff in which they discussed policies and procedures involving the appropriate supervision of children, child safety, and child-adult ratios. They also made a safety plan for when bringing in children from outdoors in order to ensure that this does not happen again. Staff were reminded to appropriately check all playground equipment to ensure that no children are hiding behind or inside of the equipment before walking indoors and to appropriately keep track of the number of children that are present each day. (Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: WESTSIDE HEAD START/EARLY HEAD START
FACILITY NUMBER: 243808262
VISIT DATE: 01/26/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiency was cited during today’s inspection (See LIC 809-D).

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted with Master Teacher Holly Ferro and a copy of the report and appeal rights were given and discussed.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 01/26/2024 11:33 AM - It Cannot Be Edited


Created By: Martha DeHaro On 01/26/2024 at 11:09 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: WESTSIDE HEAD START/EARLY HEAD START
FACILITY NUMBER: 243808262

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/26/2024
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
101229(a)(1)
(a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time... specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
1
2
3
4
5
6
7
Facility representative held a training with all staff on the day of the incident in which they discussed policies and procedures involving the appropriate supervision of children, child safety, and child/adult ratios. They also made a safety plan for when bringing children indoors. Plan of correction completed and cleared.
8
9
10
11
12
13
14
This requirement was not met as evidenced by:
Based on interviews, staff confirmed that a child was left unattended on the playground for less than one minute while everyone went back inside. This poses a potential health, safety, or personal rights risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Cynthia Brannon
LICENSING EVALUATOR NAME:Martha DeHaro
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2024


LIC809 (FAS) - (06/04)
Page: 3 of 3