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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543808937
Report Date: 03/15/2024
Date Signed: 03/21/2024 10:28:45 AM

Document Has Been Signed on 03/21/2024 10:28 AM - 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:GROWING IN GRACE PRESCHOOLFACILITY NUMBER:
543808937
ADMINISTRATOR:FINERTY, KIMBERLYFACILITY TYPE:
850
ADDRESS:1111 S. CONYER STREETTELEPHONE:
(559) 734-7695
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 78TOTAL ENROLLED CHILDREN: 78CENSUS: 50DATE:
03/15/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Debbie ArceTIME COMPLETED:
12:45 PM
NARRATIVE
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On 3/15/2024, Licensing Program Analyst (LPA) Theresa Marquez conducted a Case Management inspection and met with Teacher Debbie Arce. The purpose of this inspection is to discuss the preschools responsibility to report unusual incidents to Community Care Licensing (CCL).

In December 2023, a child climbed out of a plastic car through the window causing the car to tip over. The child fell onto the cement, cut his chin, and required stiches.
Staff did not report this incident in a timely manner to CCL and did not to submit the Unusual Incident report form LIC624 timely.

In February 2024, Director Finerty contacted the Officer of the Day to report the December 2023 incident and faxed form LIC624 Unusual Incident report to the CCL office.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: Staff failed to report an unusual incident in a timely manner. (see page, LIC809-D).

Teacher Arce contacted Director Kimberly Finerty to review this report. Finerty authorized Debbie Arce to sign this document. LPA provided Arce with a copy of the Facility Evaluation Report (LIC 809), the Notice of Site Visit form (LIC 9213) and the LIcensee Appeals Rights. The Notice of Site Visit is required to be posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/15/2024
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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Document Has Been Signed on 03/21/2024 10:28 AM - It Cannot Be Edited


Created By: Theresa Marquez On 03/15/2024 at 10:28 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: GROWING IN GRACE PRESCHOOL
FACILITY NUMBER: 543808937

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/15/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/29/2024
Section Cited
CCR
101212(d)(B)

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REPORTING REQUIREMENTS- Upon the occurrence, during the operation of the child care center of any of the events specified in a report shall be made to the Dept. by telephone or fax within the Dept. next working day & during its normal business hours. In addition, a written report
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On 2/6/2024, Director Finerty called into the CCL Officer of the day and reported the 12/7/2023 incident and faxed the LIC624 Unusual Incident report to CCL offfice.
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containing the information
specified shall be submitted to the Dept. within 7 days following the occurrence of such event. Any injury to any child that requires medical treatment. This requirement was not met as evidenced by staff interview. Staff did not report an Unusual Incident in a timely manner. This poses a potential risk to the health, safety,or personals rights to children in care.
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Director and all staff will review the CCL video REPORTING REQUIREMENTS. Director shall submit a signed roster of all staff who have reviewed the video by March 29, 2024.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Luisa Gavoutian
LICENSING EVALUATOR NAME:Theresa Marquez
LICENSING EVALUATOR SIGNATURE:
DATE: 03/15/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/15/2024


LIC809 (FAS) - (06/04)
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