Incident investigation·April 29, 2025

On April 29th, 2025, Licensing Program Analyst (LPA) Julio Rodriguez conducted an unannounced Case Management Inspection. LPA met with Director Anna Ontiveros, toured the facility, and a census was taken. The purpose of today's inspection was regarding an Unusual Incident that was self-reported to Community Care Licensing-Fresno Division, the incident occurred on 04/09/2025. The incident involved child #1 sustaining an injury that required medical attention. During today\342\200\231s visit LPA Rodriguez conducted facility observations, interviewed staff, and reviewed facility records pertinent to the incident. During the facility tour, LPA Rodriguez conducted observations in the outdoor play area where the incident occurred. The surface of the outdoor play area is maintained in a safe condition. LPA Rodriguez did not observe any potholes or tripping hazards in the playground areas that could pose a danger to children in care. Based on interviews, it was determined that child #1 was running under a playground climbing structure In the outdoor play area and impacted the corner of the structure resulting in an abrasion to child #1's head. Per interviews, staff immediately provided aid to the child, the wound was cleaned, and first aid was applied. The facility promptly contacted the child\342\200\231s authorized representatives. During today's inspection LPA Rodriguez observed that the facility practices proper supervision of children inside and outside the classroom. The facility practices zoning in the outdoor space to ensure children are always supervised, and ensures that there is direct view of each zone in the outdoor play area. Furthermore, LPA determined that it was an isolated incident, and staff took appropriate measures to address the incident, following appropriate policies, regulations, and reporting requirements. Based on interviews, LPA Rodriguez determined that the facility was within ratio and was practicing proper supervision during the time of the incident. Teacher/child ratios are maintained, and adequate supervision was being provided during today's visit. Continued on 809-C. During the tour of the center, it was noted that the Site Supervisor listed, James Munoz is no longer with the facility. The department has been notified and current Site Supervisor Anna Ontiveros indicated that a Site supervisor packet has been submitted to the department to ensure compliance with title 22. Exit interview conducted and report was reviewed with Director Anna Ontiveros. Appeal rights were provided. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, there are no deficiencies cited during today\342\200\231s 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.