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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500316980
Report Date: 01/17/2023
Date Signed: 01/17/2023 01:53:02 PM

Document Has Been Signed on 01/17/2023 01:53 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:TUOLUMNE HEAD STARTFACILITY NUMBER:
500316980
ADMINISTRATOR:NUNES, HEIDIFACILITY TYPE:
850
ADDRESS:707 HERNDON RDTELEPHONE:
(209) 574-8442
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 19DATE:
01/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Kimbra Draper TIME COMPLETED:
02:15 PM
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On 01/17/23 Licensing Program Analysts (LPAs) Araceli Gibson and (LPA) Martha De Haro conducted an unannounced case management inspection. LPA met with Hiedi Nunes, director and Kimbra Draper ECE Coordinator at Modesto City Schools Early Education. Purpose of today's inspection is a case management inspection regarding an incident that occurred on 01/3/23.

LPA followed up on information received by Unusual Incident Report that a construction worker reported, "a teacher smacked a child while in care." Kimbra Draper investigated the incident and concluded child was not hit after a review of the video footage showing child and teacher walking up and down the ramp as a calming strategy.

Hiedi Nunes provided LPAs video to review, and a statement signed by the Teacher concluding child was not hit by the teacher. Child was upset and dropping to the floor and was viewed walking with the teacher several times up and down the ramp as reported.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, No deficiency is being cited: Kimbra was provided a copy of appeal rights. An exit interview was conducted with Kimbra Draper.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Araceli Gibson
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2023
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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