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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406328
Report Date: 01/20/2023
Date Signed: 01/20/2023 03:15:57 PM


Document Has Been Signed on 01/20/2023 03:15 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:FUSD-ADDAMSFACILITY NUMBER:
100406328
ADMINISTRATOR:MATHIES, DEANNAFACILITY TYPE:
850
ADDRESS:2117 W. MCKINLEYTELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93728
CAPACITY:48CENSUS: 10DATE:
01/20/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Sophia Railing TIME COMPLETED:
03:30 PM
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Licensing Program Analyst Araceli Gibson conducted an unannounced case management inspection. LPA toured the inside and outside of Classroom 37 where the incident took place. There are two classrooms under this license with a census of 10 children total between two classrooms. LPA Gibson met with Lead Teacher Sofia Railing. During the tour of facility, LPA interviewed staff who stated they have reported and incident on 1/11/23 regarding the presence of ants in the classroom. Staff stated they continue to have ants, but are making many efforts in extinguishing the problem. Staff stated a child was bit on 01/19/23 and a staff was bit on 01/20/23, today. LPA observed dead ants around the door way. Upon the inspection pest control arrived to treat the situation. LPA observed the classroom to be clean, chairs are being provided for children to sit on currently, so they are not on the carpet until the ants can be extinguished. Pest control person stated because of the recent rains it will take several treatments for the issue to be resolved.

Per Chapter 1, Division 12, Title 22 of California Code of Regulations no deficiencies are being cited today: An exit interview was conducted and Copy of Appeal Rights left with lead teacher.



LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Araceli GibsonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:
DATE: 01/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/20/2023
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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