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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500308706
Report Date: 09/18/2024
Date Signed: 09/18/2024 01:03:55 PM

Document Has Been Signed on 09/18/2024 01:03 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:EVERETT CHILD DEVELOPMENT CENTERSFACILITY NUMBER:
500308706
ADMINISTRATOR/
DIRECTOR:		NUNES, HEIDIFACILITY TYPE:
850
ADDRESS:1530 MT VERNON DRTELEPHONE:
(209) 574-1992
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY: 90TOTAL ENROLLED CHILDREN: 90CENSUS: 14DATE:
09/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:45 AM
MET WITH:Director Heidi NunesTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
NARRATIVE
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On 08/19/2024 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 follow up on an unusual incident report. LPA Xayavong and LPM McWilliams toured the facility and a census was taken.

On 09/09/2024, Fresno Regional Office received an unusual incident report stating on 09/03/2024 at approximately 10:55 AM, during pick-up time, Grandparent found child #1 (C1), outside near another parent unsupervised by staff. Staff #1 (S1) saw C1 running up to his Grandparent and called for C1 to come back to the classroom. Approximately at 11:10 AM, Grandparent reported to the facility Administration that their grandchild was left on the playground without staff supervision. The facility Administration is conducting an ongoing internal investigation regarding the incident which will include interview, statements, and video footage review. A meeting will be conducted with S1 to review the supervision, reporting policies, and proactive steps to take to ensure the safety of all children.

During today’s inspection, licensee provided statements from staff, outline of the events during internal investigation, and video footage around the facility. LPA Xayavong and LPM McWilliams observed on the video footage during pick-up time C1 left the classroom and walked across the playground toward the exit gate. After approximately four (4) minutes C1 is seen walking behind another parent back to the classroom and the Grandparent walking toward the classroom shortly after. LPA Xayavong and LPM McWilliams observed staff were unaware that the child left the classroom as child walked away without being stopped by staff. LPM found that the facility did not comply with ensuring that children have 100% supervision while in care. Staff did not follow policy and procedure that children were supervised at all times.



Continue on 809-C
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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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: EVERETT CHILD DEVELOPMENT CENTERS
FACILITY NUMBER: 500308706
VISIT DATE: 09/18/2024
NARRATIVE
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Per California Code of Regulations, Title 22, Division 12, Chapter 1, a Type A deficiency is being cited on the attached LIC 809D.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Director Heidi Nunes. Per Director Heidi Nunes a completed signed copy of the LIC 9224 will be placed in each child's file.

An exit interview conducted with Director Heidi Nunes and ECE Coordinator Kimbra Houck.

A copy of this report and Appeal Rights were provided and discussed with Director Heidi Nunes.

A Notice of Site Visit Form was posted to parent's board and must remain 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
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/18/2024 01:03 PM - It Cannot Be Edited


Created By: Xona Xayavong On 09/18/2024 at 12:37 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: EVERETT CHILD DEVELOPMENT CENTERS
FACILITY NUMBER: 500308706

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/18/2024
Section Cited
CCR
101229(a)(1)

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No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement was not met as evidenced by
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Licensee stated that they have provided an all staff training on 09/11/2024 regarding maintaing supervision and appropriate procedure with signing in and out of children. gate.
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 LPA and LPM observed on the video footage that child left the classroom and walked toward the exit gate without being notice and stop by staff, which is an immediate risk to the health and safety or personal rights of children in care.
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Licensee stated a sign for exit gate to remain closed and latch at all times will be posted. Also, Licensee will look into installing a self closing and self latching exit gate. Licensee will have Health and Safety Specialist observe the classroom to ensure proper actions are being taken by staff during the departure of children.

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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:Kari McWilliams
LICENSING EVALUATOR NAME:Xona Xayavong
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2024


LIC809 (FAS) - (06/04)
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