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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503605971
Report Date: 03/23/2023
Date Signed: 03/23/2023 04:52:16 PM

Document Has Been Signed on 03/23/2023 04:52 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:WAKEFIELD STATE PRESCHOOLFACILITY NUMBER:
503605971
ADMINISTRATOR:HUERTA, JUDYFACILITY TYPE:
850
ADDRESS:400 SOUTH AVENUETELEPHONE:
(209) 632-2857
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY: 48TOTAL ENROLLED CHILDREN: 29CENSUS: 22DATE:
03/23/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Judy Huerta TIME COMPLETED:
12:15 PM
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On 03/23/23 Licensing Program Analysts (LPA), Araceli Gibson and Denisia Jimenez conducted an unannounced case management inspection. LPAs met with Judy Huerta. LPA’s toured of the facility and took a census of 22 children present in the Preschool. LPA stated the reason for the inspection was to follow up on an incident that was reported to CCL on 03/09/23.

Child 1 and Child 2 were playing with water marbles put them in their mouths and stated they ingested them while under supervision of staff 1. Director immediately called poison control and school nurse and followed the guidance provided to them. Parents were notified of the incident and the children were picked up. Parents were urged to take the children to the emergency room for a health evaluation. Parents of Child 1 and Child 2 complied with the request. Child 1 and Child 2 had an X-ray done and were asked to monitor for symptoms such as nausea, vomiting, acting out of character, refusal to eat or change in bowels. Children returned to school the next day with no symptoms.

Director and school nurse furthered their own research, which lead to monitoring the children by means of follow up during the day, evenings and weekends over the days that followed. Director also took a sample of the water marbles home and put them in water to test how they expanded. Water marbles expanding to the size of a nickel can be harmful to young children. Director decided to remove water marbles from their facilities through out Turlock Unified School District. LPA Gibson obtained the unusual incident report at this visit.
The facility was providing adequate measures of supervision during the incident, notified authorized representatives, and properly documented the incident with Community Care Licensing.

Per California Code of Regulations Title 22, Division 12, Chapter 1 no deficiency cited during today's visit. Exit interview conducted

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Araceli Gibson
LICENSING EVALUATOR SIGNATURE: DATE: 03/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/23/2023
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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