<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808967
Report Date: 11/15/2021
Date Signed: 11/15/2021 04:14:44 PM

Document Has Been Signed on 11/15/2021 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:NANCY FULLER CHILDREN'S UNIVERSITY, INCFACILITY NUMBER:
103808967
ADMINISTRATOR:FULLER, NANCYFACILITY TYPE:
850
ADDRESS:7901 N CEDAR AVETELEPHONE:
(559) 447-5865
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 53DATE:
11/15/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Nancy FullerTIME COMPLETED:
04:30 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 November 15, 2021, Licensing Program Analyst (LPA) met with licensee, Nancy Fuller. LPA conducted a case management inspection. During today's inspection, LPA toured facility inside and outside, took photographs, conducted interviews, reviewed children's files, reviewed staff files and took a census.

LPA received unusual incident reports dated October 26, 2021 and November 5, 2021. The two unusual incidents involved inappropriate touching between two children. On October 26,2021 the incident involved child #1 and child #2. During nap time, child #1 and child #2 cots were placed next to each other. Per interviews, the children were placed two inches apart. Staff #1 was providing care and supervision to the napping children. Staff #1 walked a child to the doorway to visually supervise a child walking down the hallway to the Orange classroom, where the restroom is located. While watching the child walk down the hallway, child #1 took pulled down the pants of child #2. Child #1 was touching child #2 inappropriately with a toy spatula. Child #2 said, "teacher." Staff #1 looked towards child #2 and observed the inappropriate touching. Staff #1 observed child #2's pants under the buttock area. Staff #1 spoke to staff #3 while standing in the doorway, asking " did I just see what I saw."

After this incident, staff were verbally informed to keep constant visual supervision of child #1 when playing with other children, move napping area to an area where only child #1 would be napping and do not have children napping in that area. Staff were provided verbal directives on October 26, 2021 and on October 27, 2021.


CONTINUED ON FOLLOWING PAGE
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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: NANCY FULLER CHILDREN'S UNIVERSITY, INC
FACILITY NUMBER: 103808967
VISIT DATE: 11/15/2021
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
26
27
28
29
30
31
32
On November 5, 2021, child #1 inappropriately touched child #3 while playing outside. The children were playing on the blue metal tube vehicle. Staff #2 was stationed an estimated 15 feet from the children. Staff #2 visually observed the two children seated in the blue metal tube vehicle, seated next to each other. Staff #2 visually spanned the play yard from right to left, looking at the children playing. Staff #2 visually scanned back to where child #1 and child #3 where playing and observed that the children were now standing behind the blue metal tube car. Child #1 was behind child #3 and staff #2 observed child #1's elbows. Staff #2 called the children over and observed child #2 pulling pants and underwear up from the back. Child #2 informed staff #2 that child #1 was touching child #2's rear.

For both incidents, parents of children #1, #2 and #3 were informed of the incidents the day they occurred. When the second incident occurred, child #1 was dismissed from facility.

Based upon interviews and observing the area of where the staff was located during the October 26, 2021 incident, adequate supervision was not provided to ensure the safety of children in care. Staff stood in the doorway, observing children walking to the Orange classroom. This practice has the staff looking at the child in the hallway and not providing care and supervision to the children in the classroom. As per Title 22, section 101229 Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation.

Based upon interviews, the napping cots are placed 2" apart, thus allowing for inappropriate interaction to take place. As stated in Title 22, section 101239.1 Napping Equipment: Napping equipment shall be arranged so that each child has access to a walkway without having to walk on or over the cots or mats of other children. Two inches apart does not allow a walkway between the two children. When the cots are spaced further apart to allow for a walkway, the children cannot easily touch each other.

During today's inspection, LPA provided copies of Title 22, sections 101229 and 101239.1

CONTINUED ON FOLLOWING PAGE
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: NANCY FULLER CHILDREN'S UNIVERSITY, INC
FACILITY NUMBER: 103808967
VISIT DATE: 11/15/2021
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
26
27
28
29
30
31
32
Type A deficiency was cited during today's inspection. Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.

Per California Code of Regulations Title 22, Division 12, these deficiencies are to be cited. Exit interview conducted with licensee, Nancy Fuller. POC/Appeal Rights were given and discussed during today’s inspection. A copy of this report needs to be placed in facility file for public review. A Notice of Site Visit was posted on parent board for 30 days.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/15/2021
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 11/15/2021 04:14 PM - It Cannot Be Edited


Created By: Cynthia Brannon On 11/15/2021 at 01:57 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: NANCY FULLER CHILDREN'S UNIVERSITY, INC

FACILITY NUMBER: 103808967

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
11/22/2021
Section Cited
CCR
101229(a)(1)

1
2
3
4
5
6
7
Responsibility for Providing Care and Supervision. No child(ren) shall be left without the supervision of a teacher at any time. Supervision shall include visual observation. This requirement was not meet as evidenced by interviews. Staff #1 stood in the doorway to observed a child walking down the hallway to use the children's
1
2
3
4
5
6
7
Licensee will provide an updated protocol for children using the children's restroom in the Orange classroom that includes another staff walking to children from the classroom to another classroom to use the restroom. Licensee will provide an updated protocol to Fresno Community Care Licensing no later than 11/22/21.
8
9
10
11
12
13
14
restroom in the Orange classroom. Child #1 pulled down child #2's pants and underwear and used a toy spatula inappropriately. Child #2 said, 'Teacher.' Staff #1 observed the inappropriate interaction. This is an immediated personal rights, health and safety risk to children in care.
A civil penalty was issued.
8
9
10
11
12
13
14
Licensee will be appealing this citation. Based upon results of the appeal, licensee may change the protocol as needed.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Michael Duarte
LICENSING EVALUATOR NAME:Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2021


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 05/17/2022 08:49 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 05/17/2022 08:44 AM


Created By: Cynthia Brannon On 11/15/2021 at 02:30 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: NANCY FULLER CHILDREN'S UNIVERSITY, INC

FACILITY NUMBER: 103808967

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 11/15/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied




1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Michael Duarte
LICENSING EVALUATOR NAME:Cynthia Brannon
LICENSING EVALUATOR SIGNATURE:
DATE: 11/15/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/15/2021


LIC809 (FAS) - (06/04)
Page: 5 of 5