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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801353
Report Date: 03/17/2023
Date Signed: 03/17/2023 03:13:53 PM

Document Has Been Signed on 03/17/2023 03:13 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:CAMPUS CHILDREN'S CENTER - SITE IIIFACILITY NUMBER:
103801353
ADMINISTRATOR:RANDOLPH, BRITTNEYFACILITY TYPE:
830
ADDRESS:5150 N CAMPUS DRTELEPHONE:
(559) 278-0225
CITY:FRESNOSTATE: CAZIP CODE:
93740
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 14DATE:
03/17/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Brittney RandolphTIME COMPLETED:
03:30 PM
NARRATIVE
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On March 17, 2023, Licensing Program Analyst, Anita Tristan, and Licensing Program Manager, Cynthia Brannon arrived at center and met with Associate Program Director, Renee Benell. During today's inspection, LPA and LPM toured facility and took a census.

During today's inspection, LPA and LPM observed the following: In the younger infant napping room, the room was very dark. LPA and LPM requested for staff to open the blinds to allow adequate light into the room to be able to view the five sleeping infants in their cribs. LPA and LPM observed blankets and toys in the crib with the five napping infants. LPA requested staff to remove blankets and toys from the cribs. Staff complied with request immediately. When questioned, staff responded that she was not sure of the safe sleep regulations and there is some type of mis-communication. LPA and LPM reviewed with safe sleep with Program Director, Brittney Randolph. As per Title 22, 101439.1(f) - Infant Care Center Sleeping Equipment: Cribs shall be free from all loose articles and objects, including blankets and pillows. LPA provided a copy of section 101439.1 - Infant Care Center Sleeping Equipment during today's inspection.

Per Title 22, Division 12, of the California Code of Regulations, this deficiency is to be cited.

Exit interview conducted with Associate Program Director, Renee Benell. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 day.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 03/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/17/2023
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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Document Has Been Signed on 03/17/2023 03:13 PM - It Cannot Be Edited


Created By: Anita Tristan On 03/17/2023 at 02:41 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: CAMPUS CHILDREN'S CENTER - SITE III
FACILITY NUMBER: 103801353

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/17/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/03/2023
Section Cited
CCR
101439.1(f)

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Infant Care Center Sleeping Equipment. Cribs are to be free from all loose articles, including blankets and pillows. This requirement was not met as evidence by LPA's observation of five sleeping infants in cribs with blankets and toys.
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Per Program Director, Brittney Randolph, training will be provided to infant staff. A copy of detailed training agenda and attendance will be sent to Community Care Licensing Office no later than 4/3/2023..
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 This is a potential pesrsonal rights, health and safety risk to infants in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Cynthia Brannon
LICENSING EVALUATOR NAME:Anita Tristan
LICENSING EVALUATOR SIGNATURE:
DATE: 03/17/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/17/2023


LIC809 (FAS) - (06/04)
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