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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808969
Report Date: 02/16/2023
Date Signed: 02/16/2023 12:41:56 PM

Document Has Been Signed on 02/16/2023 12:41 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:NANCY FULLER CHILDREN'S UNIVERSITY, INCFACILITY NUMBER:
103808969
ADMINISTRATOR:FULLER, NANCYFACILITY TYPE:
830
ADDRESS:7901 N CEDAR AVETELEPHONE:
(559) 447-5865
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 11DATE:
02/16/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Director of Operations, Becky DritzTIME COMPLETED:
11:00 AM
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On 2/16/23 Licensing Program Analyst (LPA) Caroline Harris conducted an unannounced case management visit. LPA met with Director of Operation's, Becky Dritz. A census was taken. The purpose of this visit was to interview staff and gather documents.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies were observed today. An exit interview was conducted with Becky Dritz and a copy of this report along with LIC 9213 Notice of Site Visit form was provided to Mrs. Dritz.

Notice of Site Visit form is required to be posted for 30 days.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 02/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/16/2023
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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