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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801072
Report Date: 10/10/2024
Date Signed: 10/10/2024 01:04:05 PM

Document Has Been Signed on 10/10/2024 01:04 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MAPLE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
543801072
ADMINISTRATOR/
DIRECTOR:		JONES, LORETTAFACILITY TYPE:
850
ADDRESS:501 W. MAPLE STREETTELEPHONE:
(559) 688-7086
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY: 99TOTAL ENROLLED CHILDREN: 71CENSUS: 61DATE:
10/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Loretta JonesTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On 10/10/2024, Licensing Program Analyst (LPA) Behatriz Gonzalez conducted an unannounced case management inspection. LPA met with Director Loretta Jones. LPA toured the facility inside and outside and took a census.

On 09/27/2024, the facility notified Community Care Licensing Office (CCL) via telephone regarding an Unusual Incident. On 09/27/2024, Child #1 was doing a dancing activity with other children in the carpet, Staff #1 then grabbed the child by the wrist and dragged the child roughly 8ft-9ft. Parent of child #1 was notified of the incident. Children returned on Monday.

LPA inspected the area where the incident took place. LPA conducted interviews. Staff #1 was spoken to and given the proper one on one training by staff. The training consisted of the following

- Expectations regarding appropriate child and staff interaction
-TCOE ECE Standards of Conduct
-Community Care Licensing Policy's on children's Personal rights

This appears to be an isolated incident and staff took appropriate measures to address the situation following appropriate policies and regulations.

Exit interview conducted and report was reviewed with Director Loretta Jones. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

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: Scott Herring
LICENSING EVALUATOR NAME: Behatriz Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 10/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2024
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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