103808389-7-11-2019-04-CC-SNAO-BDZ2TR-20190711174111

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808389
Report Date: 07/11/2019
Date Signed: 07/11/2019 05:41:28 PM

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 FRESNO		FACILITY NUMBER:	103808389
ADMINISTRATOR:	FLEISCHER, PENNY		FACILITY TYPE:	850
ADDRESS:	7805 N PALM AVE		TELEPHONE:	(559) 431-5437
CITY:	FRESNO	STATE: CA	ZIP CODE:	93711
CAPACITY:	160	CENSUS: 149	DATE:	07/11/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Roxan Tutelian		TIME COMPLETED:	05:55 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 7/11/2019 at 8:35 AM, an unannounced/annual random inspection was conducted by Licensing Program Analysts (LPAs), Stephanie Navarro and Candis Rogriguez. LPAs met with Director, Roxan Tutelian. Also present was Teacher, Amanda Megerdigian. LPAs toured the facility, both indoors and outdoors. There are no bodies of water or firearms at this facility. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. No poisons were observed during today’s inspection. All materials and surfaces accessible to children are toxic free. All toilets, and bathing facilities are in safe and sanitary operating conditions. All floors are clean and safe. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. LPAs observed in six classrooms accessible drawers with teacher supplies such as adult scissors, stapler, scotch tape, thumb tacks, and hand sanitizer. LPAs observed solid waste storage vessels did not have tight-fitting covers on in each classroom. Drinking water is available outdoors. LPAs observed drinking water was not readily available in the classrooms. LPAs observed children’s water bottles outside of classrooms on carts. All foods/beverages capable of rapid spoiling are stored in covered containers at 45 (F) or less. LPAs observed menus are not posted at least one week in advance in the facility. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition. LPAs observed spider webs located on light fixtures, play structures, and vines growing on the fence. Areas around high climbing equipment, swings, and slides have cushioning material to absorb falls. LPAs observed three prescription medications located in an unlock drawer located in Licensee's office and are expired. LPAs observed a child's inhaled medication stored who longer attends the facility. LPA Navarro advised Licensee medications shall be returned to the child's authorized representative or dispose of after an attempt has been made. Continued on 809-C

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 10

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
	VISIT DATE: 07/11/2019

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Before working/volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance. Staff records contain appropriate documentation of education credits. LPAs observed 7 staff files did not contain Health Screen Report. Licensee stated all staff have not completed AB1207 Mandated Reporter Training. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. Licensee was unable to provide staff #1 Measles, TB, Pertussis Immunization Record. LPA observed two authorized representatives did not sign child in. Child's admission agreement is available for review.

This facility has a summer session program, half-day program and full day program. Summer hours of operation are Monday through Friday; 07:30am through 05:30pm. Traditional School hours of operation are Monday through Friday; 7:00am through 5:30pm. Snacks are prepped in the on-site kitchen facility and served to children in the classrooms. Children bring their own lunch to facility. Required CCL forms are posted on parent's board.

Incidental Medical Services (IMS) policy was discussed. Facility is providing IMS Services. Facility does not have an IMS plan on file. LPA advised Licensee to submit IMS plan within 30 days from today. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulation deficiencies are cited on LIC 809-D.

Site Supervisor was handed a copy of appeal rights. Exit interview was conducted with Roxan Tutelian.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. LIC 9213 NOTICE OF SITE INSPECTION FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Susie Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2019

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019

LIC809 (FAS) - (06/04)

Page: 2 of 10

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: 07/11/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101239(f)(1)

Physical Plant - Fixtures, Furniture, Equipment and Supplies

(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPAs observed in all six classrooms solid waste storage vessels did not have a tight fitted lids. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to obtain tight fitted lids for all trash cans in each classroom and submit pictures to CCL Fresno Regional Office by 8/9/2019.

Type B

Section Cited

CCR

101239.2(a)

Physical Plant - Drinking Water

(a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and in the outdoor activity area. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed drinking water was not readily available in the classrooms. LPAs observed children's drinking bottles outside of the classroom. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to install water fountains back in each classroom and submit pictures to CCL Fresno Regional Office by 8/9/2019.

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 Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019

LIC809 (FAS) - (06/04)

Page: 3 of 10

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: 07/11/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101227(a)(6)

Food Service - Food Service

(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. Copies of the menus as served shall be dated and kept on file for at least 30 days. Menus shall be made available for review by the child's authorized representative and the Department upon request. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed Menus are not posted in the facility. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to submit pictures of posted menu on parent board to CCL Fresno Regional Office by 8/9/2019.

Type B

Section Cited

HSC

1596.8662(b)(1)

Staff Records

(b)(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above. Site Supervisor stated all staff have not completed the AB1207 Mandated Reporter Training. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to submit AB1207 Mandated Reporter Training Certificate for all Staff to CCL Fresno Regional Office by 8/9/2019.

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 Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019

LIC809 (FAS) - (06/04)

Page: 4 of 10

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: 07/11/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216(g)(1)

Staff Records - Personnel Requirements

(g) All personnel, including the licensee, administrator and volunteers, shall be in good health and shall be physically and mentally capable of performing assigned tasks. (1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above. LPAs observed 7 staff files did not contain Health Screen Report. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to submit all 7 staff completed Health Screen Report to CCL Fresno Regional Office by 8/9/2019.

Type B

Section Cited

CCR

101226(e)(6)

Children Records - Health-Related Services

(6) When no longer needed by the child, or when the child withdraws from the center, all medications shall be returned to the child's authorized representative or disposed of after an attempt to reach the authorized representative. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed a child's inhaled medication stored who longer attends the facility. LPA Navarro advised Licensee medications shall be returned to the child's authroized representative or dispose of after an attempt has been made. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to submit a written plan on procedures when medications being returned or dispose of when child is no longer attending facility to CCL Fresno Regional Office by 8/9/2019.

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 Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019

LIC809 (FAS) - (06/04)

Page: 7 of 10

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: 07/11/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238(g)

Physical Plant - Buildings and Grounds

(g) Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPAs observed in six classrooms accessible drawers with teacher supplies such as adult scissors, stapler, scotch tape, thumb tacks, and hand sanitizer. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to install safety drawer locks in all six classroom and submit pictures to Community Care Licensing (CCL) Fresno Regional office by 8/9/2019.

Type B

Section Cited

CCR

101238.2(d)(2)

Physical Plant - Outdoor Activity Space

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in LPAs observed spider webs on light fixtures, play structures, and vines growing on the fence. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to have staff clean the spider webs on light fixtures, play structures, and vines. Licensee agreed to submit pictures of all areas to CCL Fresno Regional Office by 8/9/2019.

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 Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019

LIC809 (FAS) - (06/04)

Page: 9 of 10

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: 07/11/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101226(e)(1)

Physical Plant - Health-Related Services

(e) In centers where the licensee chooses to handle medications: (1) All prescription and nonprescription medications shall be centrally stored in accordance with the requirements specified below: This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and interview, the licensee did not comply with the section cited above. LPAs observed three prescription medication located in an unlock drawer located in Licensee's office and are expired. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to place medications in cabinet that is higher and centrally located and agreed to submit pictures to CCL Fresno Regional Office of centrally located storage unit for medications by 8/9/2019.

Type B

Section Cited

HSC

1596.7995(a)(1)

Staff Records - General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above. LPA observed Staff #1's Measles, TB, Pertussis immunization record not on file. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 08/09/2019
	Plan of Correction
1 2 3 4	Licensee agreed to submit copies of Measles, Pertussis, TB Immunization Record for Staff #1 to CCL Fresno Regional Office by 8/9/2019.

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 Fanning	TELEPHONE: (559) 650-7980
LICENSING EVALUATOR NAME: Stephanie Navarro	TELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2019

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2019

LIC809 (FAS) - (06/04)

Page: 10 of 10