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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540404974
Report Date: 09/30/2022
Date Signed: 09/30/2022 12:26:24 PM

Document Has Been Signed on 09/30/2022 12:26 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:KAWEAH KIDS' CENTERFACILITY NUMBER:
540404974
ADMINISTRATOR:HARDIE, KATHRYNFACILITY TYPE:
850
ADDRESS:507 W. WILLOWTELEPHONE:
(559) 624-2170
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 98TOTAL ENROLLED CHILDREN: 98CENSUS: 18DATE:
09/30/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Kathryn PriceTIME COMPLETED:
12:30 PM
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On September 30, 2022 Licensing Program Analyst (LPA), Kari McWilliams conducted an unannounced case management inspection. LPA met with Director, Kathryn Price toured the facility inside and out and took a census.

The purpose of today's inspection was to follow up on an incident that was reported to the Department on September 23, 2022 where child #1 was playing outside with friends and his arm was pulled by a friend resulting in child #1 dislocating his elbow.

During the inspection LPA interviewed the staff that were present during the incident and observed the area. Based on the evidence presented with the interviews and observation LPA determined that staff handled the incident appropriately and was providing adequate supervision to children in care at the time of the incident. Child has returned to the facility without incident.

Exit interview conducted with Director Kathryn Price.


Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited today. Notice of Site Inspection to be posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2022
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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