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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911530
Report Date: 04/20/2022
Date Signed: 04/20/2022 11:03:01 AM

Document Has Been Signed on 04/20/2022 11:03 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CASTREJON, JONELLY SICAIROS FAMILY CHILD CAREFACILITY NUMBER:
243911530
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
04/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jonelly Sicairos Castrejon - LicenseeTIME COMPLETED:
11:15 AM
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On 4/20/22 Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced Case Management inspection. LPA met with Licensee, Jonelly Sicairos Castrejon, toured the Family Child Care Home (FCCH) and a census was taken. An Unusual Incident report was submitted to the Fresno Child Care Regional Office regarding an incident that occurred on 3/8/22. On that day Child #1 was walking around on a tile floor with only socks on after waking up from a nap when they slipped and fell hitting the back of their head on the tile floor. Licensee was a few feet away from Child #1 observing them walk on the tile but was unable to reach them fast enough to prevent the fall. Other children present at the time of the incident were napping. Licensee contacted local paramedics and Child #1's parent's. Licensee followed paramedics instructions while waiting for them to arrive. Child #1 was examined by the paramedics and released to their parents. Child #1's parents took them for further medical treatment where they were diagnosed with a concussion. Child #1 returned to care approximately two days later. Child #1 has had no further issues and Licensee is working with children to wear socks and shoes when walking on the tile floor in order to prevent any further incidents. Licensee has readjusted the accessible areas of the home to provide care and supervision on carpeted areas as much as possible.

This appears to be an isolated incident and Licensee took appropriate measures to address Child #1's injury, following appropriate policies, regulations, and reporting requirements.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Licensee, Jonelly Sicairos Castrejon.

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: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/20/2022
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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