103808240-2-15-2022-04-CC-SGAN-CBNVPD-20220215153634

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808240
Report Date: 02/15/2022
Date Signed: 02/15/2022 03:36:45 PM

Document Has Been Signed on 02/15/2022 03:36 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	FUSD-BAKMAN		FACILITY NUMBER:	103808240
ADMINISTRATOR:	MADDEN, KATHERINE		FACILITY TYPE:	850
ADDRESS:	580 N. HELM		TELEPHONE:	(559) 457-3685
CITY:	FRESNO	STATE: CA	ZIP CODE:	93727
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 14	CENSUS: 9	DATE:	02/15/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Lead Teacher, Maria Ramirez		TIME COMPLETED:	03:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 2/15/2022, Licensing Program Analyst (LPA) Stefanie Galvan, conducted an unannounced Annual Inspection. LPA met with Preschool Teacher, Maria Ramirez. LPA Galvan toured the facility, indoors and outdoors and a census was taken. This is an AM/PM half day program which operates on a traditional school year schedule. The morning session is 8:00 a.m. to 11:00 a.m. and the afternoon session is 11:30 p.m. to 2:30 p.m., Monday through Friday. All children are under supervision, including visual supervision, of a teacher at all times. There is a ratio of one teacher supervising no more than 12 children in attendance. 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. Disinfectants, cleaning solutions, medication, and other hazardous items are made inaccessible. No poisons were observed during the inspection. Furniture and equipment are in good condition, free of sharp, loose, or pointed parts. All toilets and hand washing facilities are in safe and sanitary operating condition. All floors are clean and safe. LPA Galvan observed a spider web near the classroom’s water jug, located in the sensory area of the room. In this same space, LPA observed rat or some other rodent-type feces along the counter and on top of a small table that is used by children. LPA Galvan observed a large insect inside a “roach motel” which was deceased under the drinking fountain/sink of the classroom. This insect was found in an unlocked cabinet, accessible to children. LPA advised staff to have maintenance/janitorial address this problem immediately. Facility has one or more functioning carbon monoxide detectors that meet statutory requirements. Continued on 809-C

SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Stefanie Galvan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2022

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 02/15/2022 03:36 PM - It Cannot Be Edited

Created By: Stefanie Galvan On 02/15/2022 at 01:41 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-BAKMAN	FACILITY NUMBER: 103808240
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/15/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

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
1 2 3 4	Based on observation, the licensee did not comply with the section cited above as there was rat feces present along a table and counter near the water faucet. There was also a large dead insect on the floor of a cabinet accessible to children. Sharp scissors were left unattended, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/22/2022
	Plan of Correction
1 2 3 4	Teacher is to obtain a work order for janitorial/maintenance to clean the classroom up and have it free from feces and spider webs. Teacher will notify licensing once this task is complete. Para-educator will ensure that all adult scissors are kept in areas not accessible to children. She will provide wirtten document that she understands this regulation to licensing.

Type B

Section Cited

CCR

101220(b)(2)

Child's Medical Assessments

(b) The medical assessment shall provide the following: (2) Results of a test for tuberculosis. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, regarding Tuberculosis (TB) verification in [4] out of [9] children school files reviewed, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/22/2022
	Plan of Correction
1 2 3 4	Teacher will contact school Administrator and school Nurse to discuss a plan to ensure TB documents are obtained for future visits. Teacher will document the outcome of her meeting and send written details to licensing office within the allotted time stated above.

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:

Alice Juarez

LICENSING EVALUATOR NAME:

Stefanie Galvan

LICENSING EVALUATOR SIGNATURE:

DATE: 02/15/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2022

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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-BAKMAN	FACILITY NUMBER: 103808240
	VISIT DATE: 02/15/2022

NARRATIVE

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AM class eat breakfast in the classroom and get a lunch to take home. PM class eats lunch in the cafeteria before leaving home for the day. All kitchen, food preparation, and storage areas are clean, free of litter/rubbish and rodents/vermin. All food is protected against contamination and any contaminated food is discarded immediately. Solid waste storage containers have tight-fitting covers and are in good repair. Uncontaminated drinking water is available both indoors and outdoors. Menus are posted at least one week in advance where an authorized representative can view them.

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 need more cushioning material in the form of wood chips to absorb falls.

Before working or volunteering in a licensed childcare facility, all individuals subject to a criminal record review that is completed by Fresno Unified School District have a clearance or exemption and have been associated to the facility . Community Care Licensing (CCL) shall notify a Licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons; the Licensee shall comply with the notice. Capacity and limitations as specified on the license are being maintained. At least one person trained in Pediatric CPR and 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.
The person who signs the child in/out of the facility uses their full legal signature and records the time of day. LPA reviewed a sample of children’s files and observed four of nine files were incomplete, missing TB clearance or risk assessments. Files were found to have contact information for authorized representatives or others who can assume responsibility if the authorized representative cannot be reached. LPA observed that all children’s files contained a medical assessment/immunizations. LPA reviewed a sample of staff files and observed files were complete with health screening, immunization records for influenza, pertussis, and measles, and current documentation of completed mandated reporter training. continued on 809-C

SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Stefanie Galvan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2022

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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-BAKMAN	FACILITY NUMBER: 103808240
	VISIT DATE: 02/15/2022

NARRATIVE

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Incidental Medical Services (IMS) are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

LPA and facility representative discussed the CCL website (www.ccld.ca.gov) which provides access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, the following deficiencies were found: (see LIC809-D). Exit interview was conducted with facility representative, Maria Ramirez. Licensee was provided a copy of appeal rights.

A notice of site visit was given and must remain posted for 30 days.

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.

SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Stefanie Galvan
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2022

LIC809 (FAS) - (06/04)

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