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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810038
Report Date: 11/22/2019
Date Signed: 11/22/2019 04:49:54 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:ACADEMIC'S PLUS LEARNING CENTERFACILITY NUMBER:
503810038
ADMINISTRATOR:TOOR, HARINDERFACILITY TYPE:
850
ADDRESS:3217 TULLY RDTELEPHONE:
(209) 702-2112
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:30CENSUS: 8DATE:
11/22/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Billda MaberryTIME COMPLETED:
05:30 PM
NARRATIVE
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An unannounced annual inspection was conducted today by Licensing Program Analyst (LPA) Claudia Henley. LPA met with Director/Owner Billda Maberry. There was two staff present with eight children. LPA toured the facility, both indoors and outdoors to inspect areas accessible to children in care. LPA observed safe play equipment and adequate shading on outdoor play area during today’s inspection. 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, of a teacher at all times. Disinfectants, cleaning solutions and other dangerous items shall be inaccessible to children. No poisons were observed during today’s inspection. Medications, when stored at the facility, are locked and stored in area inaccessible to day care children. No medication is currently being given at this time. The child proof gate was not working (was just standing on the floor and not braced to the wall), in front of a storage room adjacent to the classroom. Director/Owner stated that this area is designated as inaccessible to the children. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. Solid waste storage vessels did not have tight-fitting covers on them. LPA observed food from lunch inside the trash can and the can did not have a tight fitting lid. 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. Before working or volunteering in a licensed child care facility, all individuals subject to a criminal record review have a clearance or exemption and have been associated to the facility. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. Children's files were reviewed. One child was missing immunization record and another child was missing medical assessment. One staff file was reviewed. Director/Owner Billda (Staff #1) stated she did not have a facility file on herself and did not have proof of current CPR/FA certification. In addition, Staff #2 did not have proof of current CPR/FA certification. The child care center hours are Monday through Friday, 7:00 a.m. to 6:00 p.m.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
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: ACADEMIC'S PLUS LEARNING CENTER
FACILITY NUMBER: 503810038
VISIT DATE: 11/22/2019
NARRATIVE
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The following is cited per Title 22 Regulations (see pages 3 through 4). Appeal Rights left with Director/Owner Maberry.

Site Visit Notice posted on the parent board. Exit interview was conducted.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2019
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: ACADEMIC'S PLUS LEARNING CENTER
FACILITY NUMBER: 503810038
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/06/2019
Section Cited

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Fixtures, Furniture, Equipment and Supplies: All containers used for storage of solid wastes, including moveable bins, shall have tightfitting
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cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement was not met as evidenced by: LPA observed some food in a trash container that did not have a tight fitted lid in the classroom accessible to children.
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trash can and that it has a tight fitted lid. Send to CCL by 12/6/19
Type B
12/06/2019
Section Cited

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Building & Grounds: The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-
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being of children, employees and visitors. The storage room area was not made inaccessible to the children. The childproof gate was not working properly and bolted to the wall.
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to the wall. Send to CCL by 12/6/19. Director/Licensee to ensure that children do not have access to this area through direct visual observation until corrected
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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:
DATE: 11/22/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/22/2019
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: ACADEMIC'S PLUS LEARNING CENTER
FACILITY NUMBER: 503810038
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/22/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/06/2019
Section Cited

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101221 - Child's Records: A separate, complete and current record for each child is maintained in the child care center. This requirement was
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not met as evidenced by: Upon children's file review Child #1 was missing immunization record & Child #2 was missing a complete physician medical assessment.
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Type B
12/06/2019
Section Cited

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Personnel Requirements: Each person shall have a health-screening report signed by the person performing the screening. Upon staff file
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review, Staff #1 was missing medical assessment. In addition, Staff #2 did not have a staff file with the required licensing documents/forms available for department review today. This includes verification of a current and valid CPR/First Aid certification card.
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file for licensing to review upon inspection. Director/Licensee to send copies of the staff documents to CCL by 12/6/19
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: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:
DATE: 11/22/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/22/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4