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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808082
Report Date: 01/26/2024
Date Signed: 01/26/2024 09:34:59 AM

Document Has Been Signed on 01/26/2024 09:34 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FUSD-GREENBERGFACILITY NUMBER:
103808082
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:5081 E. LANETELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 10DATE:
01/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:25 AM
MET WITH:Latoya JudgeTIME COMPLETED:
09:45 AM
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On 1/26/2024 Licensing Program Analyst (LPA) Anita Tristan conducted an unannounced case management inspection. LPA met with Lead Teacher, Latoya Judge at the above facility. The purpose of today’s inspection is to check the newly installed swing set structure in the preschool area.

During the inspection, LPA toured the facility inside and outside and a census was taken. LPA observed that a new swing set structure was installed appropriately and no hazards were observed. There were no loose or pointed parts. The swing set structure had 3 inches of wood chips to cushion any falls. LPA observed that the appropriate signage including age limits from 2-12 years old, rules, and warnings were placed in the playground area and on the swing set. LPA has deemed the new swing set structure safe for future use once the temporary hazard tape around the swing set is removed.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.



Exit interview conducted and report was reviewed with Lead Teacher, Latoya Judge.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2024
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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