100406313-1-13-2025-04-CC-BTAE-DCVTGY-20250113134356

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 100406313
Report Date: 01/13/2025
Date Signed: 01/13/2025 01:44:12 PM

Document Has Been Signed on 01/13/2025 01:44 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME:	FUSD-BIRNEY		FACILITY NUMBER:	100406313
ADMINISTRATOR/ DIRECTOR:	MADDEN, KATHERINE		FACILITY TYPE:	850
ADDRESS:	3034 E CORNELL		TELEPHONE:	(559) 457-3690
CITY:	FRESNO	STATE: CA	ZIP CODE:	93703
CAPACITY: 58	TOTAL ENROLLED CHILDREN: 58	CENSUS: 25	DATE:	01/13/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	Rebecca Yang		TIME VISIT/ INSPECTION COMPLETED:	02:00 PM

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

On 1/13/2025 Licensing Program Analyst (LPA) Brandon Tate conducted an unannounced Annual Random Inspection. LPA Tate signed into the visitor list and was met with Superintendent Kristina Montez. LPA Tate discussed the reason for today’s visit with Superintendent Montez and was directed to continue today’s inspection with the facility representative Rebecca Yang. The licensed facility was inspected inside and outside. A census was taken of 25 children present during today’s inspection. There was 11 children present in classroom 29 and 14 children in classroom 30/31. This is a Public Agency that has a current fire clearance on file. Days and hours of operation are Monday through Friday from 0750 -1050 and 1130-1430.

LPA Tate began his inspection with file reviews. A sample of children records was obtained and thoroughly reviewed. All necessary emergency contact information, consent forms, and proper documentation were within. LPA Tate did a thorough file review for staff. Staff have the necessary experience and education to perform their job duties. There is at least one qualified staff present at all times that has a current Pediatric CPR/First Aid Certification. All staff have immunization verification and necessary forms on file per California State Regulatory Standards.

LPA Tate then inspected the licensed facility’s indoor activity space of room 29 and 30/31. LPA Tate observed age-appropriate toys for children in care. The facility was maintained to regulatory standard cleanliness and LPA Tate did not observe any hazards or sharp objects that could potentially harm children in care. LPA Tate observed sufficient cubby space for children and personal belongings were kept separate. LPA Tate observed children’s lunch bags and personal items with the child’s names written for identification. There was a functioning carbon monoxide alarm and fire extinguisher within the indoor activity space. There was a fully functioning First Aid kit with all necessary items within. LPA Tate observed drinking water accessible to children and record review showed that lead testing has been conducted for the licensed facility.

LPA Tate inspected the restroom and observed the restroom to be clean and sanitized. There was functioning sinks and toilets within that were temperature compliant with California Code of Regulations. LPA Tate observed sufficient toilet and sink ratio for children in care. LPA Tate did not observe any hazards that could potentially harm children in care.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FUSD-BIRNEY	FACILITY NUMBER: 100406313
	VISIT DATE: 01/13/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA Tate then conducted the inspection of the outdoor play area. There is an active shared outdoor area waiver on file for this facility. LPA Tate did not observe any preschool children commingling on the outdoor activity space. LPA Tate observed age-appropriate toys and no sharp or broken objects were present within the outdoor play area. There is absorbent material on the ground beneath the play structure. There is drinking water available to children outside and sufficient shade for children.

This facility does not provide Incidental Medical Services. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility representative Yang was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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

Appeal rights were given. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative Yang.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE:	DATE: 01/13/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/13/2025

LIC809 (FAS) - (06/04)

Page: 4 of 4