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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801669
Report Date: 09/18/2024
Date Signed: 09/18/2024 02:41:22 PM

Document Has Been Signed on 09/18/2024 02:41 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-FREMONTFACILITY NUMBER:
103801669
ADMINISTRATOR/
DIRECTOR:		MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:1005 W. WELDONTELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 9DATE:
09/18/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Health & Safety Supervisor Charlotte MirandaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 09/18/2024, Licensing Program Analyst (LPA) Valerie Mireles conducted an unannounced Random Inspection for the preschool license. LPA met with Health and Safety (H&S) Supervisor Charlotte Miranda, toured the facility indoors, outdoors and a census was taken. FUSD – Fremont preschool occupies classroom #29. The preschool operates two sessions: AM from 8:00AM to 11:00AM and PM session 12 PM to 3PM Monday through Friday. This program operates with the traditional school year.

Furniture and equipment in the classroom are in good condition, free of sharp, loose or pointed parts. The classroom has child sized desks, chairs, age-appropriate books, sensory, learning toys, mounted television, arts and crafts area. Based on LPA observation, the flooring at the entrance of the classroom is warped, lifted and discolored. This poses a potential risk to the health, safety, and personal rights of the children in care. All toilets and handwashing facilities are in safe and sanitary operating condition. Facility has one or more functioning carbon monoxide, smoke detectors, and fire extinguishers. Based on LPA observation, the wall and ceiling panels are observed to be eroded and warped in several locations throughout the classroom, including near the the vents. The panels behind the sink is corroded in soap and water. This poses a potential risk to the health, safety, and personal rights to the children in care. Solid waste storage containers have tight-fitting covers and are in good repair. Outdoor playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment and slides have cushioning material to absorb falls. There is no swimming pool or other bodies of water on the premises. No poisons were observed during the inspection. Disinfectants, cleaning solutions, and other hazardous items are made inaccessible. There are no firearms or ammunition allowed or stored on the premises.

Drinking water is available both indoors and outdoors. Drinking water is provided by personal water bottles. This facility provides meals and snacks to children. Parents have the option to also provide snacks. Food is prepared on site in the cafeteria. Menus are posted at least one week in advance where an authorized representative can view them. Continued to LIC809-C

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE: DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/18/2024
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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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-FREMONT
FACILITY NUMBER: 103801669
VISIT DATE: 09/18/2024
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Capacity and limitations as specified on the license are being maintained. At least one person trained in CPR and Pediatric First Aid is present when children are at the facility or at offsite activities. The name of the childcare center director or fully-qualified teacher(s) designated to act in the director’s absence has been reported to the Department. All children are under supervision, including visual supervision, of a teacher at all times. Facility meets teacher-child ratios. LPA reviewed a sample of children’s files and observed files were complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. LPA reviewed a sample of staff files and observed one of the three staff files was complete with health screening, immunization records for influenza, pertussis and measles. The other two staff files were missing immunization records, which poses a potential risk to the health, safety, and personal rights of children in care. Staff files were current with documentation of completed mandated reporter training.

LPA discussed the Community Care Licensing (CCL) website www.ccld.ca.gov which will provide access to resources such as forms, regulations Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 101212).

H&S Supervisor 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 (CCC). 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 CCCs constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

Continued to LIC809-C.

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
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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-FREMONT
FACILITY NUMBER: 103801669
VISIT DATE: 09/18/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

H&S Supervisor Miranda was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Exit interview conducted and report was reviewed with H&S Supervisor Miranda. Appeal rights were provided.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies is/are being cited: (see next page). This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE:

DATE: 09/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/18/2024 02:41 PM - It Cannot Be Edited


Created By: Valerie Mireles On 09/18/2024 at 01:43 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-FREMONT
FACILITY NUMBER: 103801669

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.3(b)
Indoor Activity Space
(b) The floors of all rooms shall have a surface that is safe and clean.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA observation, the flooring at the entrance of the classroom is warped, lifted and discolored. This poses a potential risk to the health, safety and personal rights of the children in care.
POC Due Date: 10/18/2024
Plan of Correction
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2
3
4
H&S Supervisor Miranda stated that FUSD maintenance will have the repairs completed by POC due date 10/18/2024 and provide documentation to CCL.
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on LPA observation, the wall and ceiling panels to be eroded and warped in several locations throughout the classroom, including near the the vents. The panels behind the sink was corroded in soap and water. This poses a potential risk to the health, safety and personal rights to the children in care.
POC Due Date: 10/18/2024
Plan of Correction
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H&S Supervisor Miranda stated that FUSD maintenance will have the repairs completed by POC due date 10/18/2024 and provide documentation to CCL.
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:Kari McWilliams
LICENSING EVALUATOR NAME:Valerie Mireles
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/18/2024 02:41 PM - It Cannot Be Edited


Created By: Valerie Mireles On 09/18/2024 at 01:43 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-FREMONT
FACILITY NUMBER: 103801669

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/18/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on staff interview, Staff 2 and 3 did not have immunization records on file for pertussis, measles, influenza (or decllination). This poses a potential risk to the health, safety and personal rights to the children in care.
POC Due Date: 10/18/2024
Plan of Correction
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Staff 2 and Staff 3 will provide H& S Supervisor Miranda with their immunization records and she will provide documentation to CCL by 10/18/2024.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Kari McWilliams
LICENSING EVALUATOR NAME:Valerie Mireles
LICENSING EVALUATOR SIGNATURE:
DATE: 09/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/18/2024


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