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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503606575
Report Date: 11/28/2023
Date Signed: 11/28/2023 01:16:39 PM

Document Has Been Signed on 11/28/2023 01:16 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CVCA HELPING HANDS DISCOVERYLAND PRESCHOOLFACILITY NUMBER:
503606575
ADMINISTRATOR:HEATHER KIMURAFACILITY TYPE:
850
ADDRESS:2020 ACADEMY PLACETELEPHONE:
(209) 538-6443
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY: 43TOTAL ENROLLED CHILDREN: 43CENSUS: 21DATE:
11/28/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Heather KimuraTIME COMPLETED:
01:30 PM
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On 11/28/2023, Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced case management inspection. LPA met with Director Heather Kimura to discuss an unusual incident which occurred on 11/14/2023. On 11/14/2023 at approximately 10:55 am child #1 was in the play area of the facility riding a child’s toy ride car and as the child was exiting the toy ride car got their foot stuck and fell hitting their mouth on the floor which resulted in an injury to their mouth where a top front baby tooth was impacted. Staff members were within ratio and providing supervision while the event happened and promptly escorted the child into the facility where the child was provided with first aid. First aid consisted of staff cleaning the child’s mouth with water and providing and ice pack. Facility staff contacted child #1’s parent via phone and within 15 minutes parent arrived. Upon arrival Director Heather Kimura instructed the parent to take the child to be seen by a dentist. Child #1 was seen by a dentist the same day of the event and the baby loose tooth was removed and the child was released with approval to return to care on 11/15/2023. At parent’s discretion child #1 was kept home an additional day and the child returned to care at the facility on 11/16/2023. LPA observations are this is an isolated event and that staff provided care and support to child #1 in a timely fashion and followed all protocols to ensure that the child was on their way to a speedy recovery.

A complete file review was conducted prior to visit. LPA toured facility inside and outside. LPA took a census, interviewed staff, and observed area in which incident occurred.

Based on the information obtained, LPAs determined Licensee handled the incident correctly. LPAs determined Licensee took appropriate measures to address the child's injury, followed proper policies and procedures and no regulations were violated.



Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's inspection.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE: DATE: 11/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/28/2023
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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