103808659-3-10-2020-04-CC-AMEA-BMKULN-20200310154102

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808659
Report Date: 03/10/2020
Date Signed: 03/10/2020 03:41:07 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:	FUSD-DUNCAN LEEP		FACILITY NUMBER:	103808659
ADMINISTRATOR:	MADDEN, KATHERINE		FACILITY TYPE:	850
ADDRESS:	4330 E. GARLAND AVENUE		TELEPHONE:	(559) 457-3683
CITY:	FRESNO	STATE: CA	ZIP CODE:	93726
CAPACITY:	30	CENSUS: 7	DATE:	03/10/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Teacher, Michelle Maher		TIME COMPLETED:	03:55 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 03/10/2020, an unannounced required 1-Year inspection was conducted today by Licensing Program Analysts (LPAs) Angelica Mejia and Juvenal Moctezuma. LPAs met with Teacher Michelle Maher and toured the facility, both indoors and outdoors. There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. All children are under supervision, including visual supervision, at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed during today’s visit. All materials and surfaces accessible to children are toxic free. All toilets and hand washing facilities are in safe and sanitary operating conditions. All floors are clean and safe. Furniture and equipment are in good condition and free of sharp, loose, or pointed parts. Breakfast and lunch are offered to children in the school cafeteria before and after class; breakfast is served 8:00 a.m. - 8:20 a.m. and lunch is served 12:00 p.m. - 12:20 p.m. All food is protected from contamination, and contaminated food is discarded immediately. All food and beverages capable of rapid spoiling are stored in covered containers at 45°(F) or less. Menus are posted at least one week in advance and are visible to authorized representatives. Solid waste storage vessels, including moveable bins, have tight-fitting covers on and are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Fire/Disaster drills are conducted at least once every six months and documented. Playground equipment is in good condition and free of sharp, loose, or pointed parts. Areas around high climbing equipment, swings, and slides have wood chips as a cushioning material to absorb falls. CCL shall notify a licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons. The licensee shall comply with the notice. Criminal record clearance is completed as a condition of employment and records are maintained by Fresno Unified School District. (Continued on LIC809-C)

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica Mejia	TELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

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 2

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: FUSD-DUNCAN LEEP	FACILITY NUMBER: 103808659
	VISIT DATE: 03/10/2020

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

LPAs reviewed personnel and children’s records. Files for Child #1 and Child #2 were missing the Physician Report and Tuberculosis test. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at off-site activities. Mandated Reporter Training AB 1207 is current for all staff. The person who signs the child in/out is responsible for the child, uses their full legal signature and records the time of day. Child's admission agreement is available for review. Required CCL forms are posted on parent's board.

This is an AM/PM half day program which operates on a traditional school year schedule. The morning session is from 8:00 a.m. to 11:00 a.m. Monday through Friday. The afternoon session is from 12:00 p.m. to 3:00 p.m. Monday through Friday

This facility does not provide Incidental Medical Services (IMS). Licensee is aware that an IMS plan is required to be submitted to Community Care Licensing (CCL) if any of these services are provided. 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 Regulations no deficiencies are observed today. Site Visit Notice was posted on the parent board. Exit interview was conducted with Teacher Michelle Maher.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit form is required to be posted for 30 days.

SUPERVISOR'S NAME: Duane Matsubara	TELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Angelica Mejia	TELEPHONE: (559) 341-6126
LICENSING EVALUATOR SIGNATURE:	DATE: 03/10/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2020

LIC809 (FAS) - (06/04)

Page: 2 of 2