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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100404093
Report Date: 11/21/2019
Date Signed: 11/21/2019 07:37:24 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FUSD-SCANDINAVIAN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
100404093
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:3360 NORTH SIERRA VISTATELEPHONE:
(559) 457-3683
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY:53CENSUS: 0DATE:
11/21/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
07:00 AM
MET WITH:Kim BeckwithTIME COMPLETED:
08:00 AM
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Licensing Program Analyst (LPA) Brannon met with Teacher on Special Assignment (TOSA) Kim Beckwith.

Due to water leak in Pre-K classroom, licensee is repairing the leak. This repair will be completed on November 29, 2019. Classroom #29 will be utilized as a temporary classroom for three days, starting on November 25, 2019. The licensed facility will be closed on November 28 and 29, 2019.
On December 2, 2019, the children will be back at the Pre-K classroom.

The Scandinavian middle school campus will not be in session on November 25, 2019. Only the child development center will be operating.

Per Kim Beckwith, up to 22 children will utilize classroom #29 for three days. The preschool children will utilize the girls bathroom. The bathroom has 2 sinks and three toilets. Licensee is aware that preschool staff are required to escort the preschool child(ren) to the restroom. Staff are to verify that no one else is in the restroom and to provide the required care and supervision.

Licensee is aware that classroom #29 can only be utilized for three days and the preschool children are to resume in the Pre-K classroom on December 2, 2019.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with TOSA, Kim Beckwith A copy of this report need to be placed in facility file for public review. A Notice of Site Visit was posted on parent board.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2019
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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