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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406444
Report Date: 10/16/2025
Date Signed: 10/16/2025 02:14:16 PM

Document Has Been Signed on 10/16/2025 02:14 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-WOLTERSFACILITY NUMBER:
100406444
ADMINISTRATOR/
DIRECTOR:		PARKER, STEPHANIEFACILITY TYPE:
850
ADDRESS:5174 N. FIRSTTELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 18DATE:
10/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Early Learning Department Health and Safety Supervisor Charlotte MirandaTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced Annual/Random inspection for the preschool license. LPA met with Early Learning Department Health and Safety Supervisor Charlotte Miranda and toured the facility indoors and outdoors. The facility operates Monday through Friday, with a morning session from 8:00 AM to 11:00 AM and an afternoon session from 12:00 PM to 3:00 PM, following the school district calendar.

All poisons are stored in a locked area. No poisons were observed during the inspection. Disinfectants, cleaning solutions, medications, and other hazardous items are inaccessible to children.

There is no swimming pool or other bodies of water on the premises. No firearms or ammunition are allowed or stored on the premises.

Furniture and equipment are in good condition and free of sharp, loose, or pointed parts. Playground equipment is safe and well-maintained, and outdoor surfaces are free of hazards. Areas around climbing equipment and slides have appropriate cushioning material to absorb falls. All toilets and handwashing facilities are safe and sanitary. The facility has one or more functioning carbon monoxide detectors. Floors are clean and safe. Solid waste containers have tight-fitting covers and are in good repair.

Drinking water is available indoors and outdoors through water fountains, with disposable cups provided. The facility provides meals and snacks; children eat in the cafeteria, and food is supplied through a third-party food program. Provision of meals is done onsight at Wolsters Elementary cafeteria. Menus are posted at least one week in advance where an authorized representative can view them.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2025
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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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)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-WOLTERS
FACILITY NUMBER: 100406444
VISIT DATE: 10/16/2025
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Capacity and staffing ratios are maintained per license conditions. At least one person trained in CPR and Pediatric First Aid is present during operating hours and offsite activities. The name of the child care center director or qualified designee has been reported to the Department. All children are under visual supervision at all times.

LPA reviewed a sample of children’s files and observed that files were complete with emergency contact information and medical assessments. A sample of staff files was reviewed and contained health screenings, immunization records for influenza, pertussis, and measles, as well as current documentation of completed mandated reporter training.

LPA discussed the Community Care Licensing website, www.ccld.ca.gov, which provides access to resources such as forms, regulations, Provider Information Notices (PINs), and Quarterly Updates.

LPA reviewed Reporting Requirements as outlined in regulations (Section 101212).

Supervisor Charlotte Miranda was reminded that all adults 18 and over, including employees and volunteers (except as specified in Health and Safety Code section 1596.871), must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water used for drinking and food preparation for lead contamination before January 1, 2023, and every five years thereafter. For child care centers licensed after July 1, 2022, testing must occur within 180 days of licensure per Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that lead testing was completed per the Written Directives outlined in PIN 21-21.1-CCP. LPA referred Supervisor Charlotte Miranda to the Department’s website for lead information: www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information.

Incidental Medical Services (IMS) policy was discussed. For IMS information, see PIN 22-02-CCP. When IMS is provided, an updated Plan of Operation including IMS must be submitted to the Department. Information regarding ADA was provided: U.S. Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY), and the publication Commonly Asked Questions about Child Care Centers and the ADA is available at: https://www.ada.gov/resources/child-care-centers/.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-WOLTERS
FACILITY NUMBER: 100406444
VISIT DATE: 10/16/2025
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Supervisor Charlotte Miranda was informed of the MyChildCarePlan.org website, which helps families locate child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the inspection process, a survey may be sent to the email address provided. Please complete the survey to share your experience. For questions regarding the process or CARE tools, email inspectionprocess@dss.ca.gov. Additional information about the inspection process and tools is available at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

An exit interview was conducted, and the report was reviewed with Supervisor Charlotte Miranda. Appeal rights were provided.

Per Title 22, Division 12 of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and must be posted for 30 days.

NAME OF LICENSING PROGRAM MANAGER: Joseph Pacheco
NAME OF LICENSING PROGRAM ANALYST: Aurelio Mendoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4