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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444400083
Report Date: 06/12/2024
Date Signed: 06/12/2024 02:34:13 PM

Document Has Been Signed on 06/12/2024 02:34 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:TERRY JIMENEZ CHILDREN'S CENTERFACILITY NUMBER:
444400083
ADMINISTRATOR/
DIRECTOR:		L GONZALEZ/E MARINFACILITY TYPE:
850
ADDRESS:201 BREWINGTON AVENUETELEPHONE:
(831) 763-6903
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 34TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
06/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Lorena Gonzalez & Cecilia EsquivalTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
NARRATIVE
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Licensing Program Analyst (LPA), Cortney Nelson, met with the Education Manager, Lorena Gonzalez, and Site Supervisor, Cecilia Esquival, to follow-up on incident that was self reported to the Department on 5/15/2024. LPA met with Lorena and Cecilia at the Encompass Head Start administrative offices (225 Westridge Drive, Watsonville).

An internal investigation was conducted regarding the alleged incident that a staff member (S1) is restraining children in care and has a "strict style" of working with the toddlers in care. Cecilia conducted interviews with individuals who are familiar with S1's behavior in the classroom and four (4) out of seven (7) stated that they have observed S1 restrain toddlers. Six (6) out of seven (7) individuals interviewed confirmed that S1 has a strict style to classroom management and may have expectations that are not appropriate for working with toddlers. Based on the evidence obtained, the facility has determined that S1 is using inappropriate discipline with children (restraining) and using classroom management styles that are not developmentally appropriate for toddlers.

Lorena states that further action will be taken by Encompass Head Start and follow-up shall be conducted with S1- including additional training, increased classroom monitoring by Cecilia, and identifying behaviors that S1 shall refrain from using with toddlers.

LPA informed licensee (Lorena Gonzalez) that this report dated (6/12/2024) documents one Type A citation, which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2024
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 06/12/2024 02:34 PM - It Cannot Be Edited


Created By: Cortney Nelson On 06/12/2024 at 01:48 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
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: TERRY JIMENEZ CHILDREN'S CENTER
FACILITY NUMBER: 444400083

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/13/2024
Section Cited
CCR
101223(a)(3)

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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature..

This requirement was not met as evidenced by:
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The facility states that follow-up action will be taken with S1, including additional training, increased classroom observations, and clearly identifying behaviors that are not permissible with toddlers.
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Based on interal investigation completed, S1 engaged in acts of a punitive nature by physically restraining children in the classroom, which poses an immediate risk to the health, safety, and personal rights of children in care.
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AB633 reporting requirements discussed with the Licensee.

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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:Joel Segura
LICENSING EVALUATOR NAME:Cortney Nelson
LICENSING EVALUATOR SIGNATURE:
DATE: 06/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/12/2024


LIC809 (FAS) - (06/04)
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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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: TERRY JIMENEZ CHILDREN'S CENTER
FACILITY NUMBER: 444400083
VISIT DATE: 06/12/2024
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 Also, LPA informed the licensee to provide a copy of this licensing report dated (6/12/2024) that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

As a result of today's inspection, a deficiency has been cited, see LIC809-D.

Exit interview conducted and the report was reviewed with the Education Manager, Lorena Gonzalez, and Site Supervisor, Cecilia Esquival.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 06/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2024
LIC809 (FAS) - (06/04)
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