<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100404093
Report Date: 04/16/2026
Date Signed: 04/16/2026 03:55:41 PM

Document Has Been Signed on 04/16/2026 03:55 PM - 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: 50CENSUS: 43DATE:
04/16/2026
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Jacqueline BurrellTIME VISIT/
INSPECTION COMPLETED:
04:10 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 4/16/2026, Licensing Program Analysts (LPAs) Miguel Herrera conducted an unannounced case management inspection at the facility. LPA met with Director, Jacqueline Burrell who accompanied LPA during a tour of the facility both inside and outside. LPA explained the purpose for the inspection and a census was taken. During the case management visit, facility observations were completed, facility records were reviewed, and interviews were conducted.

During today’s inspection, LPA Herrera was unable to review a file for substitute teacher #1 as the staff was present during an incident that occurred on 04/06/2026. Furthermore, during today’s inspection LPA Herrera observed 3 substitute staff without personnel files available. LPA Herrera observed substitute teacher #4 covering the toddler classroom without a personnel file available.

During the facility tour LPA observed children inside and outside of the facility. At approximately 9:52AM LPA observed preschool #1 playing outside. LPA observed substitute paraprofessional #1 and substitute teacher #2 with 17 children in the playground. During interviews, staff revealed that the facility did not have a personnel file for substitute paraprofessional #1 that has been substituting regularly for approximately 2 to 3 years. Based on the information currently available LPA Herrera could not determine whether preschool #1 was within ratio.

At approximately 10:00AM LPA Herrera observed substitute paraprofessional #2 (no ECE units on file) step out of preschool #2. At approximately 10:02am, LPA Herrera observed teacher #3 and substitute paraprofessional #3 in preschool #2 with 16 children. Again, staff revealed that the facility did not have a personnel file for substitute paraprofessional #3 that has been substituting for approximately a month. During interviews, it was revealed that substitute paraprofessional #3 did not have any ECE units therefore preschool #2 was operating out of ratio.

Based upon information received through interviews, records review, and observations it was determined that the preschool #2 was operating out of ratio and substitute staff did not have personnel records available. Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiency is cited: (see next page, LIC 809 D). Director, Jacqueline Burrell was provided with a copy of appeal rights. LIC 9213 Notice of Site visit form was provided to Director, Jacqueline Burrell and is required to be posted for 30 days. This report shall be made available to the public upon request.

NAME OF LICENSING PROGRAM MANAGER: Jose Penate
NAME OF LICENSING PROGRAM ANALYST: Miguel Herrera
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/16/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2026
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 3
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 3
Document Has Been Signed on 04/16/2026 03:55 PM - It Cannot Be Edited


Created By: Miguel Herrera On 04/16/2026 at 02:57 PM
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: 04/16/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/23/2026
Section Cited
CCR
101217(a)

1
2
3
4
5
6
7
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:
1
2
3
4
5
6
7
Director stated that they will complete a file for all 4 substitute staff and submit the files to the department by POC due date of 04/23/2026.
8
9
10
11
12
13
14
Based on record reviews 4 substitute staffmebers did not have a file at the facility for LPA to review. Which poses a potential health, safety or perosnal rights risk to persons in care.
8
9
10
11
12
13
14
Type B
04/23/2026
Section Cited
CCR101216.3(b)(1)

1
2
3
4
5
6
7
(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (1) A ratio of one fully qualified teacher (as specified in Section 101216.1(c)) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d).
1
2
3
4
5
6
7
Director stated she will review CCR101216.3(b)(1) and the educational requirements for preschool staff and submit a statement of understanding to LPA.
8
9
10
11
12
13
14
This requierement was not met as evidenced by:
Based on LPA observations, interviews and records review Preschool #2 had 1 teacher and 2 assistants (no ECE units) with 16 children. This poses a potential risk to the health, safety, and personal rights of children in care.
8
9
10
11
12
13
14
The Director will change personnel in the classrooms to meet ratios. Furthermore, the Director agrees to provide CCLD with a written plan on how the facility will ensure proper ratios are being maintained in all the classrooms. The facility will provide the plan of correction by 04/23/2025 via email.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Jose Penate
NAME OF LICENSING PROGRAM MANAGER:
Miguel Herrera
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/16/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/16/2026


LIC809 (FAS) - (06/04)
Page: 3 of 3