Follow-up·August 15, 2023

On 08/15/2023, Licensing Program Analysts (LPAs) Ka Vang and Pa Kou Vue conducted an unannounced case management inspection. LPAs toured the facility, and a census was taken. LPAs met with Licensee Patricia Gudino. The purpose today's inspection was to discuss an unusual incident occurred on 08/07/2023, in which child #2 was injured in the facility. Licensee failed to report the incident to the Fresno Community Care Licensing (CCL) Office. During the case management inspection, Licensee stated that on 08/07/2023 at 4:00 PM to 4:30 PM, Licensee was in the approved kitchen and Child #2 (C2) was in the playpen in the livingroom. Child #6 (C6) was also in the livingroom which Licensee had vision of the children. As licensee was preparing food in the kitchen, Licensee observed C6 went inside the playpen and both C2 and C6 were playing in the playpen. Licensee heard C2 crying. Licensee went to the playpen and picked up C2. Licensee observed C2 did not have any bruises and/or open wounds. Licensee then comforted C2. On 08/07/2023 at 7:00 PM, C2\342\200\231s mother texted Licensee and disclosed that C2 had two bite marks on her left arm. During the case management inspection, Licensee stated that the incident of C2 with the bite marks occurred during C2 and C6 were in the playpen. Licensee stated that she did not know that she had to report to CCL-Fresno of the incident that C6 bit C2. Licensee stated that since the incident occurred on 08/07/2023, C2 has not return to the facility. Staff and children\342\200\231s file reviews were conducted. LPAs observed Assistant did not have current Immunization Record, Mandated Reporter Training, LIC 9052 Employee Rights and LIC 9108 Statement Acknowledging Req. To Report Child Abuse in file. Per the California Code of Regulations, Title 22, Division 12, Chapter 3, the following deficiencies are being cited during today\342\200\231s inspection. (See next page, LIC809-D). Licensee was provided a copy of appeal rights. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Licensee.