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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808799
Report Date: 05/08/2019
Date Signed: 05/08/2019 01:48:58 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-EATONFACILITY NUMBER:
103808799
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:1451 E. SIERRA AVE.TELEPHONE:
(559) 451-4470
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY:21CENSUS: 20DATE:
05/08/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Erica MurilloTIME COMPLETED:
02:15 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Theresa Marquez and Stephanie Navarro conducted an unannounced Annual/Random inspection and met with Lead Teacher and Erica Murillo and substitue teacher Elizabeth Gomez. LPAs toured the facility, both indoors and outdoors. There are no bodies of water on site. Firearms/weapons are not allowed or stored on premises. There is a ratio of one teacher supervising no more than 12 children in attendance. During inspection LPA Marquez observed Child #1 exiting the classroom restroom alone with the restroom door closed. Teacher #1 was southeast of the restroom and Teacher #2 was south of the restroom when Child #1 was observed. This resulted in Child #1 having no supervision. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed during today’s inspection. All materials and surfaces accessible to children are toxic free. Medications are stored in locked cabinets in the school office and inaccessible to children. All toilets, hand washing, 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. Meals are provided and prepared by the school cafeteria. Solid waste storage vessels, including moveable bins, have tight-fitting covers on, are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Menus are posted at least one week in advance, where an authorized representative can view them. Facility has a functioning carbon monoxide detectors that meets statutory requirements. Playground equipment is in good condition, free of sharp, loose, or pointed parts.
Outdoor activity space surface is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings, and slides have cushioning material to absorb falls.
Before working in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and is a condition of employment with Fresno Unified School District. During inspection, the front office,Teacher and Program Director were unable to provide a personnel file for Substitute teacher Elizabeth Gomez . The personnel file for Teacher Erica Murillo contained all appropriate documentation of education credits.

(Continued on 809-C)
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
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 4
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-EATON
FACILITY NUMBER: 103808799
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/10/2019
Section Cited
CCR
101217(a)
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PERSONNEL RECORDS -The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. This requirement is not met as evidenced by observation and interview: Front office, Teacher and Program Director
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Facility shall provide a copy of a complete personnel file for Substitute teacher Elizabeth Gomez to the Fresno CCL office by June 10, 2019.
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were unable to provide a personnel file for Substitute Teacher Elizabeth Gomez. This poses an potential risk to health, safety, or personal rights of children in care.
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Type B
06/06/2019
Section Cited
HSC
1596.8662(b)(1)
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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... and shall complete renewal mandated reporter training every two years following the date on which
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Teacher and/or Program Director shall have staff (Erica & Elizabeth) complete AB1207 Mandated Reporting Training and submit certificates to Fresno CCL office by June 6, 2019.
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he or she completed the initial mandated reporter training. This requirement is not met as evidenced by observation and file review. Staff (Erica & Elizabeth) did not complete AB1207 Mandated Reporter Training. This poses an potential risk to health, safety, or personal rights of children 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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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-EATON
FACILITY NUMBER: 103808799
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/08/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/10/2019
Section Cited
CCR
101229(a)(1)
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RESPONSIBILITY FOR PROVIDING CARE AND SUPERVISION - The licensee shall provide care and supervision as necessary to meet the children's needs. No child shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1).
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Licensee shall ensure no child is left without supervision, including visual supervision, of a teacher at any time. Teacher Erica Murillo and/or Program Director shall develop and implement training to staff on the protocol of supervision during restroom usage for children while ensuring each child is
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This requirement was not met as evidence by observation and interview: During inspection LPA Marquez observed Child #1 exiting the classroom restroom alone with the restroom door closed. This resulted in Child #1 having no supervision. This is an immediate risk to the health, safety and personal rights of children in care.
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accounted for. Staff shall provide evidence of training to the Fresno Community Care Licensing (CCL) office by 5/10/2019.
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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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
LIC809 (FAS) - (06/04)
Page: 3 of 4
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-EATON
FACILITY NUMBER: 103808799
VISIT DATE: 05/08/2019
NARRATIVE
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At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. Staff was unable to provide evidence of AB1207 Mandated Reporting training requirement. 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. Staff records contain appropriate, documentation of education credits. At least one person trained in CPR and Pediatric first-aid is present when children are at the facility or at off-site activities. 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.

This is an AM/PM half day program which operates on a traditional school year schedule. The morning session is 8:00am to 11:00am and the afternoon session is
11:30pm to 2:30pm, Monday through Friday. Required CCL forms are posted on parent's board.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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, the following deficiencies are found: (see LIC809-D) Site Visit Notice posted on the parent board.

A copy of the Fact Sheet - AB 633 Child Care Parent Notification Requirements, a copy of LIC 9224 and the Licensee Appeals Rights were provided to Erica Murillo today.

Site Visit Notice was posted on the parent board.

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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4