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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808389
Report Date: 02/11/2020
Date Signed: 02/11/2020 09:39:33 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:BLUFF VIEW PRIVATE PRESCHOOL OF FRESNOFACILITY NUMBER:
103808389
ADMINISTRATOR:ROXAN TUTELIANFACILITY TYPE:
850
ADDRESS:7805 N PALM AVETELEPHONE:
(559) 431-5437
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY:160CENSUS: 143DATE:
02/11/2020
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Roxan TutelianTIME COMPLETED:
10:00 AM
NARRATIVE
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On 02/11/2020, Licensing Program Analysts (LPAs) Diane Mercado and Rene Mancinas Jr. arrived at the facility to conduct an unannounced case management inspection. LPAs met with Director Roxan Tutelian and a census was taken. LPAs explained the reason for the inspection with Director.

Based on record review and interview with facility director, the facility has not provided an updated plan of operation and does not meet reporting requirements for reporting incidents to the Department.

Per Title 22, Division 12, Chapter 3, the following deficiencies are cited: see attached LIC 809-D.

An exit interview was conducted with Director, Roxan Tutelian and appeal rights were provided. LIC 9213 Notice of Site Inspection form is required to be posted for 30 days.

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: BLUFF VIEW PRIVATE PRESCHOOL OF FRESNO
FACILITY NUMBER: 103808389
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/11/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/13/2020
Section Cited

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(d) During the operation of the child care center of any of the events... a report shall be made... by telephone or fax within the Department's next working day and during its normal business hours. A written report containing the information ...below shall be submitted to the Department within seven days following the occurrence of such event.
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This requirement was not met as evidenced by record review and staff interviews conducted that indicate staff are not notifying the Department as required when reportable events/incidents occur in the facility. This poses a potential risk to the health, safety, or personal rights of children in care.
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also update facility plan of operation and handbooks to reflect reporting protocol and procedures. Updated plans to be submitted to CCLD-Fresno by POC date.
Type B
03/13/2020
Section Cited

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(c) Any proposed changes in the plan of operation that affect services to children shall be subject to departmental approval prior to implementation and shall be reported as specified in Section 101212. This requirement was not met evidenced by record review and staff interviews:
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that indicate the facility does not have a current up to date plan for potty training (including diapering and sanitation), biting policy, medication policy, and reporting requirements (including unusual incidents). This poses a potential risk to the health, safety, or personal rights of children in care.
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Updated plans to be submitted to CCLD-Fresno by POC date.
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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:
DATE: 02/11/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/11/2020
LIC809 (FAS) - (06/04)
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