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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203808965
Report Date: 01/24/2023
Date Signed: 01/24/2023 09:49:09 AM

Document Has Been Signed on 01/24/2023 09:49 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:NANCY FULLER CHILDREN'S UNIVERSITY, INCFACILITY NUMBER:
203808965
ADMINISTRATOR:FULLER, NANCYFACILITY TYPE:
850
ADDRESS:36199 AVENUE 12TELEPHONE:
(559) 645-1241
CITY:MADERASTATE: CAZIP CODE:
93636
CAPACITY: 30TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
01/24/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Martha NaviaTIME COMPLETED:
10:00 AM
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On 01/24/2023 Licensing Program Analyst (LPA) Jeovanna Yanez conducted an unannounced case management inspection. LPA met with Director, Martha Navia, who accompanied LPA on a tour of the facility. The purpose of today’s inspection is to address a lead exceedance referred to as an Action Level Exceedance (ALE) of over 5.5 parts per billion (ppb) from water at the facility.

Fresno Regional Office (FRO) received notification that the facility has a high lead exceedance from a water lead sampling test collected on 11/30/22. Based on records reviewed from the Child Care Center Lead Sampling and Reporting Tool, Outlet A shows an ALE of 10 ppb. Based on LPA's observation, the facility has made the outlet inoperable, and is in the planning stages of permanently removing the outlet with a Certified Sampler. The facility is providing alternative potable water via filtered water dispenser to children, visitors, and staff during hours of operation. Licensee has posted results on the parent board for review per PIN 21-21.1-CCP Written Directives (WD) 101703(b). In addition, parents and guardians will be notified of the ALE via letter and verbally, Per PIN 21-21.1-CCP WD 101704 (b)(3). Licensee submitted the following documents to FRO: Facility Sketch (LIC 999) for both indoor and outdoor areas, Child Care Center Sampling Checklist form (LIC 9276), External Water Sampler Self-Certification Form (LIC 9275). During the inspection, LPA obtained a copy of the lead testing report conducted by Dellaville Laboratory, Inc. The facility has agreed to continue with permanently removing the outlet.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited today. Deficiency was addressed and issued under the Preschool Licensee #203808694.

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: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2023
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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