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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808230
Report Date: 11/16/2023
Date Signed: 11/17/2023 09:22:05 AM

Document Has Been Signed on 11/17/2023 09:22 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-VINLANDFACILITY NUMBER:
103808230
ADMINISTRATOR:MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:4666 N. MAPLETELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 9DATE:
11/16/2023
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Youa LorTIME COMPLETED:
03:55 PM
NARRATIVE
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On 11/16/2023 Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez, conducted an unannounced Annual Required continuous Inspection for the preschool license. LPA met with Lead Teacher, Youa Lor (Staff #3) and toured the facility indoors and outdoors and a census was taken. LPA toured Classroom 1, Classroom 2, and the play yard. Days and hours of operation consist of both a Preschool A.M. program and Preschool P.M. Program that operate Monday through Friday. The A.M. Program is from 8:00am to 11:00am and the P.M. program runs from 11:30am to 2:30pm.

All poisons are kept in a locked storage area. During the inspection in Classroom 2 LPA observed that the baby gate that led to the “Teacher’s Office” was broken. LPA observed that in that area there were items that should be made inaccessible to children in care. LPA reviewed regulations with Staff #1. LPA observed that Staff #1 did their best to place broken baby gate in order to make area inaccessible. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible during inspection. LPA reviewed best practices for food handling with Staff #1 and Staff #3.

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

Furniture and equipment are in good condition, free of sharp, loose or pointed parts. 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, swings and slides have cushioning material to absorb falls. All toilets and handwashing facilities are in safe and sanitary operating condition. The facility has one or more functioning carbon monoxide detectors. Floors in the facility are clean and safe. LPA observed that there was not a tight-fitted cover for a waste bin. LPA reviewed regulations with Staff #1 and Staff #3.

Continue on LIC809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/16/2023
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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Document Has Been Signed on 11/17/2023 09:22 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 11/16/2023 at 03:13 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-VINLAND
FACILITY NUMBER: 103808230

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(f)(1)
Fixtures, Furniture, Equipment and Supplies
(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in LPA observed that Classroom 1 and Classroom 2 did not have a trash bin with a tight fitting cover for solid wastes. LPA observed trash cans in classroom 1 and classroom 2 with food waste, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/30/2023
Plan of Correction
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Staff #3 stated that a trash bin with a tight fitting lid will be ordered and placed for all waste.
Type B
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observed, the licensee did not comply with the section cited above in LPA observed that an uncleared adult was in the Staff office area in Classroom 1. LPA was informed by Staff #3 that adult is not fingerprint cleared or a volunteer. Uncleared adult left classroom/ school grounds, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/30/2023
Plan of Correction
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LPA reviewed regulation with Staff #3 that all adults must obtain a criminal record clearance or an exemption prior to employment or presence in the facility. Staff #3 stated she understood. LPA observed that uncleared adult left facility.
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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 11/17/2023 09:22 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 11/16/2023 at 03:13 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-VINLAND
FACILITY NUMBER: 103808230

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)
Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information:

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that LPA observed that Staff #1 and Staff #2 did not have a recent Mandated Reporter. LPA also observed that Staff #5 did not have their Physicians Report, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/30/2023
Plan of Correction
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LPA reviewed findings with Staff #1 and Staff #2. Staff #3 stated that Mandated Reporter Certificates for both Staff #1 and Staff #2 will be submitted to the Department by 11/30/2023. LPA was informed by Staff #3 that Staff #5 will submit Physician's Report after December 27th.
Type B
Section Cited
CCR
101223(b)(1)
Personal Rights
(1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in that a total of 4 children did not have the Parent and Personal Rights on file. Children consist of Child #2, Child #3, Child #4, and Child #5, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/30/2023
Plan of Correction
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Staff #3 stated that the required forms will be completed and copies will be submitted to the Department by POC due date.
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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2023


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Document Has Been Signed on 11/17/2023 09:22 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 11/17/2023 at 08:36 AM
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-VINLAND
FACILITY NUMBER: 103808230

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
101174 Disaster and Mass Casualty Plan (d) Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in LPA was informed by Staff #1 and Staff #3 that center had not conducted a disaster drill since the start of school, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/01/2023
Plan of Correction
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Staff #1 stated that a disaster drill will be conducted once children come back form break on POC due date. Staff stated that they will submit proof to the Department by POC due date.
Type B
Section Cited
CCR
101212(d)
101212 Reporting Requirements (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above in that the classroom AC units were not working properly and that the School had provided Classroom 1 and Classroom 2 with space heaters to warm up the classrooms. LPA was informed that AC unit will be replaced, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/08/2023
Plan of Correction
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Staff #3 stated that a Unusual Incident Report will be made and submitted to the Department and that a call will be made to report to the Officer of the Day at Community Care Licensing. LPA reviewed reporting requirements with Staff.
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:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2023


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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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: FUSD-VINLAND
FACILITY NUMBER: 103808230
VISIT DATE: 11/16/2023
NARRATIVE
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Drinking water is available both indoors and outdoors. Drinking water is provided by drinking fountains. This facility does provide meals to children, snacks are provided. Food is prepared on site. Menus are posted at least one week in advance where an authorized representative can view them.

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 child care 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 and observed that 4 out of 6 children’s files were missing parent and personal rights documentation. LPA observed that all of children’s file had a documentation on 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 files were complete for Staff #3 and Staff #4 with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. During record review it was observed that Staff#1 and Staff #2 did not have a recent Mandated Reporter Certificate. LPA observed during record review that Staff #5 did not have the required health screening, physicians report on file. Staff are fingerprint cleared as a condition of employment through Fresno Unified School District.

During the inspection LPA observed that there was an uncleared adult in the inaccessible “office” by a baby gate. LPA spoke to Lead Teacher, Youa Lor that uncleared adults can not be in the facility. Lead Teacher, Youa Lor stated they understood. LPA observed as uncleared adult left facility.

Lead Teacher, Youa Lor 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.

LPA was unable to finish the inspection due to all staff clocking out at 3:30pm and not having an authorized individual present to finish the inspection .

LPA will conclude inspection at a later date.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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