103808814-3-20-2023-04-CC-CHAS-CQ4TUW-20230320150302

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 103808814
Report Date: 03/20/2023
Date Signed: 03/20/2023 03:03:13 PM

Document Has Been Signed on 03/20/2023 03:03 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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	ST. AGNES CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	103808814
ADMINISTRATOR:	PRICE, MARYELLEN		FACILITY TYPE:	850
ADDRESS:	1255 E. HERNDON AVE.		TELEPHONE:	(559) 450-3545
CITY:	FRESNO	STATE: CA	ZIP CODE:	93720
CAPACITY: 143	TOTAL ENROLLED CHILDREN: 143	CENSUS: 91	DATE:	03/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Amanda Tuller		TIME COMPLETED:	03:30 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 3/20/23 an unannounced Annual inspection was conducted today by Licensing Program Analyst, (LPA) Caroline Harris. LPA met with Director, Amanda Tuller and toured the facility, both indoors and outdoors. The LPA observed all required licensing forms to be posted in a visible location for authorized representatives to view them. A census was taken and there were 91 day care children present. This facility runs from 6:00 am to 6:00 pm, Monday through Friday. Snacks are provided in the AM and PM, and meals are eaten in the classrooms. Menus are posted at least one week in advance, where an authorized representative can view them. Firearms/weapons or ammunition are not allowed or stored on the premises. 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. The LPA did not observe disinfectants, cleaning solutions and other dangerous items to be inaccessible to children. There were no poisons observed on the premises accessible to children. Licensee is aware that poisons are required to be locked and inaccessible to children. All materials and surfaces accessible to children are toxic free. All toilets, hand washing, and bathing facilities are in safe and sanitary operating conditions. In classroom T2 LPA observed tears in a blue sofa and sand on the changing table. In classroom PS 1, Big Bears, LPA observed a blue sofa (broken up in three areas of the room) to be ripping and stains/faded, also sand on the changing table. There was also a tan rug in the bathroom that did not have gripping on the bottom, causing it to move when standing on it and a large tan area rug that was dirty and had stains. In classroom PS 2, LPA observed a small blue chair that was ripping ,exposing sharp edges. LPA also observed in classroom PS 3, the screens on the windows (4) to need replacing/fixing. One screen was bent and was not fitting correctly, one screen had a large hole in it, another screen had a small hole in it and was bent. The forth screen was also bend. Three out of four windows were open. There is a working fire extinguisher, smoke detector, carbon monoxide indicator, and adequate heating and ventilation for safety and comfort.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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 03/20/2023 03:03 PM - It Cannot Be Edited

Created By: Caroline Harris On 03/20/2023 at 01:21 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: ST. AGNES CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 103808814
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/20/2023

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	Upon inspection, in classroom PS 3, the LPA observed the screens on the windows (4) to need replacing/fixing. One screen was bent and was not fitting correctly, one screen had a large hole in it, another screen had a small hole in it and was bent. The forth screen was also bend. Three of the windows were open. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 04/03/2023
	Plan of Correction
1 2 3 4	The director agrees to put in a maintenance order to get the screens replaced. Pictures will be sent to the LPA by the due date of 4/3/23.

Type B

Section Cited

CCR

101238.4(a)

This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Upon inspection, the LPA observed in classroom PS1 Big Bears, there to be two large plastic tubs with children's coats pilled in them. Also in classroom PS 2, Polar Bears there was a large tub with children's coats in them. This poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/27/2023
	Plan of Correction
1 2 3 4	The director agrees to have a discussion with the teachers and review the regulation, as it is required for children's belongings to be placed in their individual storage spaces and not piled together. Proof of this will be sent to the Fresno CCL office by the due date of 3/27/23.

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:

Caroline Harris

LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: ST. AGNES CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 103808814
	VISIT DATE: 03/20/2023

NARRATIVE

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The licensee has a complete first aid kit. Uncontaminated drinking water is available both indoors and outdoors and children also bring their own water bottles. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition. The LPA observed a tree trunk on the PS play yard, that was exposing large roots that were possible tripping hazards. Areas around high climbing equipment, swings, and slides have cushioning material to absorb falls. There were no bodies of water on site.

The director 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. There are no excluded individuals present at this facility. Licensee is aware that upon notice from the Department, any excluded individual must be immediately removed from the facility and prevented from returning to the center or having contact with children in care. The licensee shall comply with the notice. Staff records contain appropriate, documentation of education credits. At least one person is to be trained in CPR and Pediatric first-aid and shall be present when children are at the facility or at off-site activities. This facility does have one person trained in CPR and first aid. Staff records contain documentation of immunizations against pertussis, measles and influenza for staff. LPA reviewed with the director the Mandated Child Abuse Reporter Training (AB 1207), which all staff have completed. Ms. Tuller is aware that the Mandated Reporter Training is required to be updated every two years. The LPA and the director discussed the Community Care Licensing website: www.ccld.ca.gov. which provides access to Provider Information Notifications (PINS), Quarterly Updates that inform licensees of new legislation and regulations, training's, and Licensing forms and updated information. The director was also advised that it is her responsibility to stay current with regulations. Fire drills are conducted and documented with the date, time and how many children present, every six months. The person, who signs the child in/out, is responsible for the child, uses their full legal signature and records the time of day. Child's admission agreement is available for review.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: ST. AGNES CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 103808814
	VISIT DATE: 03/20/2023

NARRATIVE

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The LPA reviewed six children’s files. All required licensing documents were observed in each of the children’s files. Licensee also maintains documentation of immunizations for the children. Incidental Medical Services (IMS) policy was discussed. This facility provides Incidental Medical Services (IMS).

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, the following deficiencies are found: (see LIC809-D). An exit interview was conducted and a copy of this report (along with appeal rights) was provided and reviewed with Amanda Tuller. This report shall be made available to the public upon request. The LIC 9213 Notice Of Site Visit form was given to Ms. Tuller 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: Cynthia Brannon
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

LIC809 (FAS) - (06/04)

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