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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 100406338
Report Date: 09/06/2023
Date Signed: 09/06/2023 03:28:33 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/29/2023 and conducted by Evaluator Anita Tristan
PUBLIC
COMPLAINT CONTROL NUMBER: 04-CC-20230829085042
FACILITY NAME:FUSD-MAYFAIRFACILITY NUMBER:
100406338
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:3305 E. HOMETELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93703
CAPACITY:42CENSUS: 8DATE:
09/06/2023
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Fatima VelazquezTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Facility playground is in disrepair
Facility is in disrepair
Facility has pests
INVESTIGATION FINDINGS:
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On 9/6/2023 Licensing Program Analyst (LPA) Anita Tristan and Licensing Program Manager (LPM) Cynthia Brannon conducted an unannounced complaint inspection. LPA Tristan and LPM Brannon met with Teacher (S1). LPA and LPM reviewed the allegations, and toured the facility, inside and outside. The lead teacher was not present during today's inspection. There are two preschool classrooms on site. LPA and LPM observed 8 preschool children playing in the outside play yard.

During today's inspection, LPA and LPM observed the exterior siding of the building was damaged with exposed wood consisting of rot/fungi. Play structure is missing a screw which causes the step to bounce when children are on the platform, the slide opening compenent is broken and is separated, and a bubble component that is burnt/melted where children have access. During today's inspection, LPA conducted staff interviews. The interviews reflect red ants are in the outside play area, under and around climbing structure. Staff do not allow children to play under the climbing structure due to the ants and LPA observed spider webs under the play structure and on the on the bubble component of play structure. LPA was informed that black widow has been seen on the climbing structure. LPA was informed that there are red ants and termites have been seen in interior and exterior areas that are accessible to children in care. Documentation reflect children has been bitten by ants while in care. During today's inspection, a census was taken, photographs of exterior building, interior areas of classroom and of play structure.


***Continued on 809-D***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 04-CC-20230829085042
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-MAYFAIR
FACILITY NUMBER: 100406338
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/07/2023
Section Cited
CCR
101223(a)(2)
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Personal Rights. To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. The climbing structure has broken components, children are being biten by ants and the exerior wall of building has wood rot/fungi. There are reports of termites.
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Per program director, Licensee will work with maintenance. Licensee will provide a time table to ensure all items are repaired, replace; pest management time tables to provide control of termites, ants and spiders;
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LPA observation and interviews reflect this requirement is not being met, This poses an immediate risk to personal rights, health and safety to children in care.
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and when the exterior side of buliding is repaired/replaced. The time table will be sent to the Fresno Regional office by 9/13/23, with all items corrected within 30 days. Play structure will be taped off within 24 hours.
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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.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 04-CC-20230829085042
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-MAYFAIR
FACILITY NUMBER: 100406338
VISIT DATE: 09/06/2023
NARRATIVE
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Type A deficiencies were cited. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A completed signed copy of the LIC 9224 will be placed in each child’s file.

Based upon LPA and LPM observations, and information gathered through interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, this deficiency are to be cited. Exit interview conducted with Health and Safety Supervisor, Charlotte Miranda. Plan Of Correction/Appeal Rights were given and discussed. A Notice of Site Visit was posted on parent board for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3