500308706-9-18-2024-04-CC-XXAG-D98PYE-20240918114350

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 500308706
Report Date: 09/18/2024
Date Signed: 09/18/2024 11:44:05 AM

Document Has Been Signed on 09/18/2024 11:44 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:	EVERETT CHILD DEVELOPMENT CENTERS		FACILITY NUMBER:	500308706
ADMINISTRATOR/ DIRECTOR:	NUNES, HEIDI		FACILITY TYPE:	850
ADDRESS:	1530 MT VERNON DR		TELEPHONE:	(209) 574-1992
CITY:	MODESTO	STATE: CA	ZIP CODE:	95350
CAPACITY: 90	TOTAL ENROLLED CHILDREN: 90	CENSUS: 14	DATE:	09/18/2024
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:25 AM
MET WITH:	Director Heidi Nunes		TIME VISIT/ INSPECTION COMPLETED:	11:45 AM

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On 09/18/2024, Licensing Program Analyst (LPA) Xona Xayavong and Licensing Program Manager (LPM) Kari McWilliams arrived at the facility to conduct a Case-Management-Incident inspection. LPA and LPM met with Director Heidi Nunes and ECE Coordinator Kimbra Houck. LPA and LPM explained that the reason for the visit was to account for an unusual incident.

An unusual incident report was submitted to the Fresno Regional Office regarding an incident that occurred on 08/14/2024, where Parent #1 (P1) reported to the facility that staff #1 (S1) caused bruises on child #1 (C1) wrist and arm. P1 reported that during the first day of school at pick up time C1 was observed crying and when P1 observed C1 try to come to P1, S1 was observed pulling C1 toward them. It was reported that C1 had bruising from the incident.

During today’s inspection Director Nunes and ECE Lead Houck provided LPA Xayavong and LPM McWilliams with the following items: P1 complaint, S1 and S2 Statement of Facts, pictures of C1 wrist and arm, Incident - Follow-Up, and video footage from security camera on site. Also, Licensee provided Summary of Investigative Findings that was conducted internally. It was also confirmed that C1 returned to the facility and guardians of C1 have filled out paperwork to be volunteers in the class and there have been no issues.

Based on the observations of the videos, pictures and statements provided to LPA Xayavong and LPM McWilliams were able to determine that the facility met the child’s health and safety and personal rights. LPA Xayavong and LPM McWilliams observed no bruises from the pictures and C1 appeared to be in happy spirit when walking out of the classroom with P2. Also, P2 was holding the same arm when walking C1 out of the classroom.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted with Director Heidi Nunes and ECE Coordinator Kimbra Houck. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Xona Xayavong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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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