543810155-1-23-2025-57-CC-NSAZ-DD7PNK-20250123102804

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 543810155
Report Date: 01/23/2025
Date Signed: 01/23/2025 10:28:10 AM

Document Has Been Signed on 01/23/2025 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	LITTLE WONDERS		FACILITY NUMBER:	543810155
ADMINISTRATOR/ DIRECTOR:	BROWN, KORISSA		FACILITY TYPE:	830
ADDRESS:	2637 S CHINOWTH		TELEPHONE:	(559) 281-5947
CITY:	VISALIA	STATE: CA	ZIP CODE:	93277
CAPACITY: 9	TOTAL ENROLLED CHILDREN: 9	CENSUS: 8	DATE:	01/23/2025
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:50 AM
MET WITH:	Korissa Brown		TIME VISIT/ INSPECTION COMPLETED:	10:40 AM

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On 01/23/2025, Licensing Program Analyst (LPA) Nohemi Sanchez met with Director Karissa Brown for an unannounced case management inspection. LPA toured the facility, and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 12/16/2024 where an infant (Infant #1) was vomiting and 911 call was initiated. The purpose of this inspection was to investigate this incident.

LPA spoke to staff present when the incident occurred. Teacher’s Aide #1, who directly witnessed this incident, stated that the children had just finished their snack when Infant #1 crawled next to the Director and started to vomit. The vomit was cleaned and 2 minutes later Infant #1 vomited once again, and Director decided to contact Infant #1’s parent. Director stated that after the second instance of vomiting, she decided to place Infant #1 in a highchair while she grabbed some cleaning supplies to clean up infant. Shortly after, the infant vomited again, prompting the Director to take immediate action by removing the infant from the highchair and performing the Heimlich maneuver to prevent the infant from chocking on their own vomit. Director reported that she remained on the phone with parent throughout the incident, informing parent of the situation and advising that 911 would be activated.

Director reported that parent arrived shortly before the EMT’s (Emergency Medical Technician), Parent and Infant #1 left with the ambulance to the hospital and parent continued contact with Director to keep the facility updated on Infant #1’s condition.

Director stated that Infant #1 returned to care on 12/18/2024. Medication was not administered at the facility.

Continued on LIC809-C.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Nohemi Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

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: LITTLE WONDERS	FACILITY NUMBER: 543810155
	VISIT DATE: 01/23/2025

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LPA discussed with Director the facility’s procedures for isolating ill children and the appropriate use of children’s equipment. Director understands that each facility is required to have an isolation area for infants that is equipped with a crib, cot, mat, or playpen per regulation section 101426.2. LPA also discussed children’s personal rights and Director understands that highchairs are not intended to be used for isolation of ill children, but are only to be used for eating.

Exit interview conducted with Director Karissa Brown.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency was cited during today’s inspection.

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: Luisa Gavoutian
LICENSING EVALUATOR NAME: Nohemi Sanchez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/23/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025

LIC809 (FAS) - (06/04)

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