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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808662
Report Date: 02/10/2023
Date Signed: 02/10/2023 01:12:20 PM

Document Has Been Signed on 02/10/2023 01:12 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LIL' EXPLORERSFACILITY NUMBER:
153808662
ADMINISTRATOR:BLANKENSHIP,MICHELLEFACILITY TYPE:
850
ADDRESS:8800 HARRIS ROADTELEPHONE:
(661) 665-1200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 298TOTAL ENROLLED CHILDREN: 298CENSUS: 152DATE:
02/10/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Dawn HollemanTIME COMPLETED:
01:25 PM
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On 02/10/23, Licensing Program Analyst (LPA) Daniel Alvarez met with Administrator Dawn Hollerman for an unannounced case management inspection. A complete file review was conducted prior to today's inspection. LPA toured the facility and a census was taken. The purpose of today's inspection was to address an unusual incident that occurred at the facility on 12/08/22.

An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 12/09/22 involving a day-care child that fell while riding a tricycle, which resulted in the child falling and a cut on her lip. Today, LPA spoke with Administrator regarding the incident along with gave a copy of the Unusual Incident/Injury Report (LIC624B). First aid was provided and the child's parent was notified. The child was taken to see a Dentist the following day where reportedly nothing was done, just told to keep an eye on the tooth for any change in color, that seem to be a little ajar now since the incident.

Today, LPA observed the outdoor play area where the incident took place. The play equipment observed appeared to be age appropriate. There were two teachers providing care and supervision to the children in the outdoor play area when the incident occurred; therefore, adequate ratios were in place. Mrs. Hollerman reported that Child #1 had returned to care on 12/13/22. Mrs. Hollerman stated that staff ensures that adequate care and supervision is provided to all children in care.

Based on the information obtained, LPA determined the licensee handled the incident correctly and reporting requirements were met. LPA determined that the licensee took appropriate measures to address the incident, following both internal policy and Title 22 Regulations.

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

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Mrs. Hollerman.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Daniel Q Alvarez
LICENSING EVALUATOR SIGNATURE: DATE: 02/10/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/10/2023
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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