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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100404093
Report Date: 09/25/2024
Date Signed: 09/25/2024 10:31:28 AM

Document Has Been Signed on 09/25/2024 10:31 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FUSD-SCANDINAVIAN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
100404093
ADMINISTRATOR/
DIRECTOR:		MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:3360 NORTH SIERRA VISTATELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: 9DATE:
09/25/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Tracy De La SantosTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
NARRATIVE
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On 9/25/2024, Licensing Program Analysts (LPAs), Valentin Hernandez and Anita Tristan met with Lead Teacher, Tracy De Los Santos and Site Supervisor, Jacqueline Burrell for an unannounced case management-incident inspection. LPAs toured the facility, and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 8/29/2024, were there was inappropriate touching between two children during nap time.

Based on the information obtained through witness’ statements and interviews conducted there is a ponderance of evidence that this incident did occur. There was a lead teacher and three substitutes present, attending to toileting and calming the children for nap time. However, a 5-foot wall obstructed the staff’s line of sight, preventing them from seeing the children, which allowed the two children to conduct inappropriate touching.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is being cited: (see next page, 809 D) Licensee was provided a copy of their appeal rights.

Exit interview conducted with Site Supervisor, Jacqueline Burrell. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valentin Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
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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Document Has Been Signed on 09/25/2024 10:31 AM - It Cannot Be Edited


Created By: Valentin Hernandez On 09/25/2024 at 09:58 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: FUSD-SCANDINAVIAN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 100404093

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/09/2024
Section Cited
CCR
101229(a)(1)

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101229-Responsibility for Providing Care and Supervision (a) The licensee shall provide care and supervision as necessary to meet the children's needs (1) No child(ren) 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). Supervision shall include visual observation.
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Per health and safety supervisor they will be ordering mirrors that will be installed in the classroom to allow visual line of sight of staff. Safety supervisor will submit order invoice and pictures of installed mirrors to CCLD by POC due of 10/09/2024.
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This requirement was not met as evidenced by: information obtained via an unusual incident report and witness statements for two children to conduct inappropriate touching. The lack of supervision made by a 5-foot wall that obstructed the staff’s line of sight This poses risk to the health, safety and 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:Cynthia Brannon
LICENSING EVALUATOR NAME:Valentin Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 09/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/25/2024


LIC809 (FAS) - (06/04)
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