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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808389
Report Date: 07/09/2024
Date Signed: 07/09/2024 04:14:40 PM

Document Has Been Signed on 07/09/2024 04:14 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:BLUFF VIEW PRIVATE PRESCHOOL OF FRESNOFACILITY NUMBER:
103808389
ADMINISTRATOR/
DIRECTOR:		ROXAN TUTELIANFACILITY TYPE:
850
ADDRESS:7805 N PALM AVETELEPHONE:
(559) 431-5437
CITY:FRESNOSTATE: CAZIP CODE:
93711
CAPACITY: 160TOTAL ENROLLED CHILDREN: 160CENSUS: 117DATE:
07/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Roxan TutelianTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On 07/09/24, Licensing Program Analyst (LPA) Valentin Hernandez, conducted an unannounced Annual Required Inspection for the preschool license. LPA met with Licensee/Director Roxan Tutelian. LPA toured the facility indoors and outdoors. Hours of operation are Monday through Friday, 7:30 am to 5:00 pm. LPA confirmed that the classrooms used for services are classrooms #1 through #6, all of which are licensed. Other licensed areas are the library, common area, and studio. Facility provides morning, afternoon and full day sessions. This facility operates year-round. LPA confirmed the phone number to the facility as 559-431-5437. Parents provide lunch for children in care. If a parent forgets to provide lunch, the parent is called, who will bring the child's lunch. Licensee provides AM and PM snacks.

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. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. All toilets and handwashing facilities are in safe operating condition. Floors in the facility are clean and safe. Drinking water is available both indoors and outdoors. Licensee provides water pitchers in all classrooms. Parents provide their children with sippy cups, which are taken home daily to be washed. Areas around high climbing equipment and slides have cushioning material to absorb falls. Licensee utilizes sand for cushioning. LPA verified that fire drills are being completed at least once every 6 months. The last fire drill was conducted on 6/27/24.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (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. LPA verified that facility did not conduct required lead testing. Licensee is to be in accordance to the Written Directives outlined in PIN 21-21.1-CCP. (Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valentin Hernandez
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: BLUFF VIEW PRIVATE PRESCHOOL OF FRESNO
FACILITY NUMBER: 103808389
VISIT DATE: 07/09/2024
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Licensee 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.

Capacity on license are being maintained. Bluff View Private Preschool of Fresno director or fully qualified teacher(s) designated to act in the director’s absence has been reported to the Department.This Center utilizes electronic sign in/out. All children are under supervision, including visual supervision, of a teacher at all times. During today's inspection, LPA observed staff #1, #2 and #3 with 25 preschool children. The staff were not teacher qualified. LPA informed licensee who moved staff around to be within compliance. LPA reviewed a sample of children’s files and observed that the 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 files were mostly complete with health screening, immunization records for influenza, pertussis and measles and current documentation of completed mandated reporter training. Licensee agreed to obtain any missing documentation for her employees.

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 PIN 22-02-CCP. 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/.

The Community Care Licensing website www.ccld.ca.gov was discussed, which will provide 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.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. (Continued on LIC 809-C)

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valentin Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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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: BLUFF VIEW PRIVATE PRESCHOOL OF FRESNO
FACILITY NUMBER: 103808389
VISIT DATE: 07/09/2024
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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.

LPA informed licensee, Roxan Tutelian, that this report, dated 7/9/24, documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risks to the personal rights, health and safety to children in care. Also, LPA Valentin informed licensee to provide a copy of today's licensing report that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies were cited during today’s inspection (see LIC 809-D).

Exit interview conducted and report was reviewed with licensee Roxan Tutelian.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were also given.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valentin Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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Document Has Been Signed on 07/09/2024 04:14 PM - It Cannot Be Edited


Created By: Valentin Hernandez On 07/09/2024 at 12:59 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: BLUFF VIEW PRIVATE PRESCHOOL OF FRESNO
FACILITY NUMBER: 103808389

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101216.3(b)(1)
Teacher-Child Ratio
(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (1) A ratio of one fully qualified teacher (as specified in Section 101216.1(c) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d).

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. All five classrooms were out of ratio: Classroom 2: 1 Teacher & 2 Aides with 25 children, classroom 3: 3 Aides with 29 children; classroom 4: 3 Aides with 25 children; classroom 5: 1 Teacher & 1Aide with 20 children and classroom 6: 2 Aides with 20 children. This poses an immediate health, safety or personal rights risk to children in care.
POC Due Date: 07/10/2024
Plan of Correction
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Per licensee, three of her teachers were not present during today's inspection. The teachers will be on site tomorrow. Further, licensee will be used as a teacher to meet required classroom ratios. Licensee will provide a copy of 7/10/24 sign in log, a listing of all staff in each classroom with the number of preschool children.
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:Cynthia Brannon
LICENSING EVALUATOR NAME:Valentin Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/09/2024


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Document Has Been Signed on 07/09/2024 04:14 PM - It Cannot Be Edited


Created By: Valentin Hernandez On 07/09/2024 at 12:59 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: BLUFF VIEW PRIVATE PRESCHOOL OF FRESNO
FACILITY NUMBER: 103808389

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
WD
101700(b)
Written Directives for Lead Testing
(b) All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead pursuant to these written directives.

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. This poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 08/09/2024
Plan of Correction
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Per licensee, she will schedule for the required lead testing to be conducted by entity that has been approved by the Department before 8/9/24. Licensee shall provide a copy of scheduled testing to the Fresno Community Care Licensing Regional office.
Type B
Section Cited
CCR
101216(f)
Personnel Requirements
(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities.

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. There was 13 staff present during today's inspection, which none had current approved First Aid/CRP certificate. This poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/23/2024
Plan of Correction
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During today's inspection, licensee had the First Aid/CPR instructor provide an email confirming that staff is receiving First Aid/CPR class on 8/19/24.
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:Cynthia Brannon
LICENSING EVALUATOR NAME:Valentin Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/09/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/09/2024 04:14 PM - It Cannot Be Edited


Created By: Valentin Hernandez On 07/09/2024 at 12:59 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: BLUFF VIEW PRIVATE PRESCHOOL OF FRESNO
FACILITY NUMBER: 103808389

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/09/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)(12)
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: (12) Tuberculosis test documents as specified in Section 101216(g).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, licensee did not comply with the section cited above. Staff #2, 7,10, 11 and 12 are missing their TB assessments or test results. This poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 07/23/2024
Plan of Correction
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Per licensee, she will have her staff receive their TB test results by 7/23/24. Licensee will provide copies of staff test results to the Fresno Community Care Licensing Regional office by 7/23/24.
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
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Based on record review, the licensee did not comply with the section cited above. Children #3, 4 & 6 are missing their TB risk assessment or TB test results from pediatrician. This poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 07/23/2024
Plan of Correction
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Per licensee, the parents will provide the children's TB risk assessment or TB test results signed by pediatrician.
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:Cynthia Brannon
LICENSING EVALUATOR NAME:Valentin Hernandez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/09/2024


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