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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406337
Report Date: 01/16/2020
Date Signed: 01/16/2020 09:57:56 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-LOWELLFACILITY NUMBER:
100406337
ADMINISTRATOR:MADDEN, KATHERINE (KAY)FACILITY TYPE:
850
ADDRESS:171 N. POPLARTELEPHONE:
(559) 457-3000
CITY:FRESNOSTATE: CAZIP CODE:
93701
CAPACITY:21CENSUS: 9DATE:
01/16/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Rita SanchoTIME COMPLETED:
10:15 AM
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On this date, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced inspection to the facility. LPA met with Teacher Rita Sancho. Also present during this inspection were two aides. The purpose of today's inspection was to follow up on an incident that were reported to Community Care Licensing (CCL) Fresno Regional Child Care Office. On 10/18/19, an incident report was made to the Duty Officer regarding Child #1 cut his finger tip while cutting play-doh with children's scissors during activity time. LPA conducted a tour of the facility. Census for today was taken. A series of questions were asked regarding the incident and they were discussed. Teacher stated the children at the table cutting up the play-doh were being supervised, however, no teacher or aide was sitting at the table with them. The teacher stated in the future, a teacher or aide will be sitting at the table with the children, to provide direct supervision when they are using scissors. The teacher stated the child did not require medical treatment and returned to school on the next school day. Pictures were taken of the children's scissors possibly involved in the incident and where the scissors are kept.

Per California Code of Regulations Title 22 Chapter 22 Division 12 Chaper 3, there are no deficiencies being cited on this inspection.

Notice of Site Visit to be posted for 30 days.


SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
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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