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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406313
Report Date: 08/26/2024
Date Signed: 08/26/2024 09:40:44 AM

Document Has Been Signed on 08/26/2024 09:40 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:FUSD-BIRNEYFACILITY NUMBER:
100406313
ADMINISTRATOR/
DIRECTOR:
MADDEN, KATHERINEFACILITY TYPE:
850
ADDRESS:3034 E CORNELLTELEPHONE:
(559) 457-3690
CITY:FRESNOSTATE: CAZIP CODE:
93703
CAPACITY: 58TOTAL ENROLLED CHILDREN: 58CENSUS: 16DATE:
08/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Rebecca YangTIME VISIT/
INSPECTION COMPLETED:
10:00 AM
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On 08/26/2024 Licensing Program Manager, Cynthia Brannon, and Licensing Program Analysts (LPAs) Anita Tristan and Valentin Hernandez conducted an unannounced case management inspection. LPAs met with preschool teacher, Rebecca Yang, at the above facility. The purpose today’s inspection is to observe areas regarding two waivers request to submitted on 08/21/2024 in the preschool area.

The Facility is requesting a waiver to share the restrooms with the neighboring classroom, room 30 Special Day Class Transitional Kindergarten and for the preschool class to use the TK and Kindergarten playground during construction.

Upon arriving at facility, construction is taking place. Per preschool teacher, the sharing of the outside playground is temporary. The waiver request did not indicate start date and estimated ending date of construction. A call was placed to Health and Safety Supervisor for the required dates of construction. Per information acquired by staff, the playground waiver is temporary. A follow-up call to Health and Safety Supervisor to gather the required information before the playground waiver can be granted.

During the inspection, LPM and LPAs toured the facility inside, outside and a census was taken.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.



Exit interview conducted and report was reviewed with preschool teacher, Rebecca Yang.
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.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2024
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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