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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801861
Report Date: 02/06/2025
Date Signed: 02/06/2025 11:39:56 AM

Document Has Been Signed on 02/06/2025 11:39 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-ERICSONFACILITY NUMBER:
103801861
ADMINISTRATOR/
DIRECTOR:		MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:4774 E. YALETELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93703
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 14DATE:
02/06/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Mee MouaTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 2/6/2025 Licensing Program Analyst (LPA) Brandon Tate conducted an Annual Random inspection for the preschool license. Upon arrival, LPA Tate was met by Office staff to sign in to the visitor list. LPA Tate introduced himself and explained the reason for today’s visit. LPA Tate walked through the campus to the preschool class and was met by designated facility representative Mee Moua. The licensed facility was inspected inside and outside. Record review showed a current fire clearance. A census was taken of 14 children present. Days and hours of operation are Monday through Friday from 0800 – 1100 and 1200 – 1500.

LPA Tate inspected the licensed facility’s indoor activity space. LPA Tate observed age-appropriate toys for children in care. The facility was maintained to regulatory standard cleanliness and LPA Tate did not observe any hazards or sharp objects that could potentially harm children in care. LPA Tate observed sufficient cubby space for children and personal belongings were kept separate. LPA Tate observed children’s lunch bags and personal items with the child’s names written for identification. There was a functioning carbon monoxide alarm and fire extinguisher within the indoor activity space. LPA Tate observed drinking water accessible to children and record review showed that lead testing has been conducted for the licensed facility. LPA Tate inspected the restroom and observed the restroom to be clean and sanitized. There was functioning sinks and toilets within that were temperature compliant with California Code of Regulations. LPA Tate observed sufficient toilet and sink ratio for children in care. LPA Tate did not observe any hazards that could potentially harm children in care.

The outdoor activity area was inspected by LPA Tate and age-appropriate play structures were observed during today’s inspection. The outdoor play area was fenced and at least 4 feet in height. There is no swimming pool or other bodies of water on the premises. Play structures were free from rust and debris. There were no sharp or protruding objects observed. All play equipment was functional, and no rust was observed. Upon inspection of the shared outdoor play area, it was observed by LPA Tate that there was a trash can filled approximately halfway with trash and did not have a trash bag within or a trash can cover. This poses a potential health, safety, or personal rights violation to children in care.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2025
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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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-ERICSON
FACILITY NUMBER: 103801861
VISIT DATE: 02/06/2025
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A thorough file review was conducted on staff and children’s files. LPA Tate reviewed a sample of children’s files, and they were complete with necessary emergency contact information and all required forms were present and complete. LPA Tate conducted a file review for staff and observed all training to be current. Designated facility representative Moua’s Mandated Reporter training certificate that adheres to AB1207 is due to expire on 4/17/2025 and her Pediatric CPR/First Aid is due to expire on 2/25/2025. All staff files were complete with necessary forms and signed appropriately.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Designated Facility Representative Mee Moua was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Appeal rights were given. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Designated Facility Representative Mee Moua.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2025
LIC809 (FAS) - (06/04)
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