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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808967
Report Date: 04/29/2022
Date Signed: 04/29/2022 01:19:06 PM

Document Has Been Signed on 04/29/2022 01:19 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: 72DATE:
04/29/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Nancy FullerTIME COMPLETED:
01:30 PM
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 On April 29, 2022, Licensing Program Analysts (LPAs) C Brannon and J Pacheco conducted a Case Management - Incident inspection. LPAs met with licensee, Nancy Fuller to discuss an incident report submitted to Community Care Licensing regarding an incident that occurred in the facility on March 16, 2022. Child #1 (C1) sustained an injury to finger that required stitches and a splint. The purpose of this inspection is to investigate the aforementioned incident.
Staff interviews show that there was an approximate census of 16 children with two preschool teachers when the incident took place. Staff were stationed in the play yard in different areas to provide visual supervision to children in care. Staff #1 (S1) was stationed closest to where the incident took place. S1 stated that C1 was observed playing with chalk on the cement. S1 looked down at C1 and panned her visual supervision across the play yard. S1 heard C1 cry. S1 observed C1 crying and walking towards her with blood on forehead and hands. S1 immediately assessed C1. S1 noted that C1's finger was bleeding. S1 was provided a paper towel and applied pressure to C1's finger. Office staff came out and took C1 to the front office. Staff applied ice, pressure and called parents. Both parents arrived. Mother is a nurse and assessed C1 and took C1 to emergency. C1 returned to facility with a finger splint. A week later, C1 had a follow up visit with physician and return to facility with a band-aid. Facility has a storage room that has toys. Facility cycles toys in and out of play yard. Per staff, the outside storage door is hard to open. This door is locked at times, when staff is not needing the stored toys. During today's inspection, door leading to outside toy storage was locked.
This appears to be an isolated incident and staff took appropriate measures to address the child's injury, following appropriate policies, regulations and reporting requirements.
Per California Code of Regulation, Title 22, Division 12, Chapter 1, no deficiency was cited during today's inspection. A Notice of Site visit was provided.
Exit interview conducted and report was reviewed with licensee, Nancy Fuller. This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 04/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/29/2022
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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