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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540403661
Report Date: 10/20/2022
Date Signed: 10/20/2022 01:45:08 PM

Document Has Been Signed on 10/20/2022 01:45 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FIRST BAPTIST PRESCHOOLFACILITY NUMBER:
540403661
ADMINISTRATOR:STOCKTON, ELISAFACILITY TYPE:
850
ADDRESS:81 N G STTELEPHONE:
(559) 784-6688
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 22DATE:
10/20/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Virginia Tucker, DirectorTIME COMPLETED:
01:45 PM
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On 10/20/2022, LPA Pete Espinoza conducted a Case Management inspection was conducted today by Licensing Program Analyst, Pete Espinoza. LPA met with, Virginia Tucker, Director, to discuss incident which occurred on 10/10/2022. A complete file review was conducted prior to visit. LPA toured facility inside and outside. Census was taken. LPA interviewed staff and observed area in which incident occurred.
On 1010, 2022, Child enrolled in preschool suffered a seizure in classroom prior to naptime. Staff laid child down and immediately called 911. First responders arrived, assessed child and child was taken to hospital by ambulance. Director stated she spoke with mom later in the day and Mom told her child was in stable condition. Child returned to preschool on 10/14 2022.

Teacher-Child ratio was reportedly in place when the incident took place. Based on the information obtained, this appears to be an isolated incident and Staff took appropriate measures to address the child's injury, following proper policies and procedures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with the Virginia Tucker, Director.

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

To order forms, etc. visit our website at www.ccld.ca.gov.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Peter Espinoza
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2022
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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