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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808967
Report Date: 01/26/2023
Date Signed: 01/26/2023 10:18:43 AM

Document Has Been Signed on 01/26/2023 10:18 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: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: 56DATE:
01/26/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director and Operations, Becky DritzTIME COMPLETED:
10:25 AM
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On 01/26/23 Licensing Program Analyst (LPA) Caroline Harris conducted an unannounced case management inspection. LPA met with Director and Operations, Becky Dritz for the purpose of conducting a case management inspection, regarding a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) in the water at the facility.

Fresno Regional Office received notification of water lead exceedance at the facility resulting from a recent water lead sampling test. Based on test results from Dellavalle Laboratory Inc., for licensee #103808967 an outlet is impacted with an (ALE) of 16.0 ppb in the preschool "Orange" classroom in a sink named outlet F. This result indicates out of compliance over (ALE) 5.5 ppb. (See Plan of correction for further corrective action 809D). The outlet was previously changed prior to the testing being completed. The director agrees to continue with the resampling process for an action level result of under 5.5 ppb for compliance with a Certified Sampler.

Director stated children are provided water from a potable source in the kitchen by a pitcher and Sippy cups. Potable water is also made available to visitors and staff during hours of operation. Facility has posted results for parents to review Per PIN 21-21-1 CCP WD 101703 (b). In addition parents and guardians were notified by letter and through the Bright wheel system of the (ALE ) Per PIN 21-21-1 CCP WD 101704 (b)(3).

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, a type B deficiency is being cited: (see next page, 809 D). An exit interview was conducted and Ms. Dritz was provided a copy of this report along with appeal rights. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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 01/26/2023 10:18 AM - It Cannot Be Edited


Created By: Caroline Harris On 01/26/2023 at 09:52 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: NANCY FULLER CHILDREN'S UNIVERSITY, INC
FACILITY NUMBER: 103808967

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/26/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/27/2023
Section Cited

101700.3WD(a)(b)

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California’s Action Level for lead in water at Child Care Centers is 5 ppb. Testing results with fractional ppb readings of 0.5 ppb or greater shall be rounded up to the nearest whole number, before comparing to the Action Level. Testing results with fractional ppb readings of less than 0.5 ppb shall be rounded down to the nearest whole number, before comparing to the Action Level. (1) A result with values of 5.5 ppb or greater shall be deemed an Action Level Exceedance. (2) Licensees shall maintain a lead value at or below the Action Level of 5 ppb in all outlets subject to the testing requirements of these Written Directives, for the health and safety of children in care.
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The director agrees to submit evidence of remediation on outlet F in the preschool "Orange" classroom testing at or below Action Level by POC due date 02/27/23.
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(c) If testing indicates an Action Level Exceedance at any water outlet, the water from that outlet is deemed not safe to drink and an immediate response pursuant to section 101704 shall be required. This requirement was not met as evidenced by: Testing results from Dellavalle Lab indicating (ALE) of 16.0 ppb in outlet F. These results indicate out of compliance over (ALE) 5.5 ppb, which poses a potential health, safety or personal rights risk to persons in care.
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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:Caroline Harris
LICENSING EVALUATOR SIGNATURE:
DATE: 01/26/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/26/2023


LIC809 (FAS) - (06/04)
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