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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808968
Report Date: 08/02/2021
Date Signed: 08/02/2021 04:31:17 PM

Document Has Been Signed on 08/02/2021 04:31 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:
103808968
ADMINISTRATOR:FULLER, NANCYFACILITY TYPE:
840
ADDRESS:7901 N CEDAR AVETELEPHONE:
(559) 447-5865
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY: 28TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/02/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Nancy FullerTIME COMPLETED:
04:45 PM
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On August 2, 2021 Licensing Program Analysts (LPAs) Brannon and Gavoutian, conducted an unannounced Case Management Inspection for the school age license. LPA met with Director, Nancy Fuller, toured the facility indoors and outdoors. Days and hours of operation are Monday through Friday, 6:30 AM to 5:30 PM. There were no school age children present during today's inspection.

At this time, licensee has decided to go inactive status for her school age license. During today’s inspection, licensee completed and returned the Request for Inactive Child Care License Status form. Upon returning to the office, LPA Brannon will forward request for processing.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

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: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2021
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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