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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801073
Report Date: 05/24/2024
Date Signed: 05/24/2024 02:39:51 PM

Document Has Been Signed on 05/24/2024 02:39 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:CUTLER CHILD DEVELOPMENT CENTER #2FACILITY NUMBER:
543801073
ADMINISTRATOR/
DIRECTOR:		SYLVIA AVILAFACILITY TYPE:
850
ADDRESS:12890 SCHOOL AVENUETELEPHONE:
(559) 528-1834
CITY:CUTLERSTATE: CAZIP CODE:
93615
CAPACITY: 100TOTAL ENROLLED CHILDREN: 100CENSUS: 39DATE:
05/24/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Sylvia AvilaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 5/24/2024, Licensing Program Analysts (LPAs) Claribel Soto conducted an unannounced Case Management – Incident Inspection. LPA met with Site Supervisor Sylvia Avila. LPA toured the facility and took a census. The purpose of today's inspection was to follow-up on an unusual incident that was reported to Community Care Licensing (CCL) on 4/30/2024. The incident reported was regarding child #1 throwing himself on the floor and hitting his head several times resulting in needing to call the ambulance and be taken to the ER.

During today's inspection, LPA Soto interviewed staff #1 who was present during the incident and reviewed and obtained records. The Unusual Incident was regarding child (child #1) who threw himself on the floor and hitting his head several times. Incident occurred in the morning. Staff #1 stated child #1 was playing by himself and saw other children playing with blocks and walked over and started kicking the blocks. One child (child#2) said no don’t do that. Child #1 then slapped child #2. Staff #1 removed child from the area where the other children were playing. Staff #1 attempted to calm child down inside and then continued to attempt to calm him down by taking him outside. Child #1 started to throw himself hitting his head on the cement. Staff #1 stated they have a pillow that they put under his head so he doesn’t hurt himself, but child #1 threw the pillow. Other staff members attempted to help child and calm him down. Child seemed disoriented. Staff #1 prompted and attempted to call parents. Staff then proceeded to call 911. Staff#1 stated child has an IEP and incidents like this have occurred in the past but not to this extent. Parent showed up to school once 911 was called.

Continued on 809-C

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Claribel Soto
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: CUTLER CHILD DEVELOPMENT CENTER #2
FACILITY NUMBER: 543801073
VISIT DATE: 05/24/2024
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Staff receive training throughout the year focusing on working with children with special needs and have a mental health consultant that comes to the facility. LPA confirmed there have been incidents in the past after reviewing records.

Based on the information obtained, LPA determined facility handled the incident correctly and reporting requirements were met. After interviewing staff and reviewing facility records, LPA determined facility took appropriate measures and no regulations were violated.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency was cited during today's visit. An exit interview was conducted with Site Supervisor, Sylvia Avila.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Claribel Soto
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
LIC809 (FAS) - (06/04)
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