Fresno EOC Mendota Head Start

Based on record review, the licensee did not comply with the section cited above as child #6's medical assessment did not have a tuberculosis risk assessment/test documeneted, which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above as 3 out of 6 children files had missing, incomplete and/or outdated immunization records, which poses/posed a potential health, safety or personal rights risk to persons in care.

The licensee shall ensure that each child is accorded the following personal rights... (3) To be free from...including but not limited to: interference with functions of daily living including eating, ...this expectation was not met as evidence by 4 staff interviews confirming that S1 and... 1 Facility has removed S1 and S2 and they are currently receiving Personal Rights Training. S2 restrained child and reportedly forced fed to throw up. 8

101223(a)(2) Personal Rights (a)The licensee shall ensure that each child is accorded the following personal rights (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. Director, Lisa Westbrook stated that staff had a training on diapering on April 30, 2025 in regard on how to follow proper diapering procedures and policies. Director stated that a training will be given to staff, to ensure that diapering logs correlates with the daily attendance. Director will provide the Department with training material and a list of staff signatures for both training's by

Facility will submit detailed information of the structural changes that will be made to the facility to CCLD. The

Staff did not meet child’s diapering needs.