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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801184
Report Date: 06/14/2021
Date Signed: 06/14/2021 01:19:48 PM

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:FRESNO CHRISTIAN EARLY EDUCATIONFACILITY NUMBER:
103801184
ADMINISTRATOR:MOLLY BENNETTFACILITY TYPE:
830
ADDRESS:7280 N CEDARTELEPHONE:
(559) 298-3869
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:24CENSUS: 10DATE:
06/14/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Angelina VegaTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Brannon met with Assistant Director, Angelina Vega. During today's visit, LPA toured facility and took a census. LPA arrived during nap time.

During today's visit, LPA provided a copy of Title 22, 101419.2 Infant Needs and Services Plan and 101429 Responsibility for Providing Care and Supervision for Infants. LPA provided a copy of LIC 9227 Individual Infant Sleeping Plan. LPA provided a sample of Infant Sleeping Check that is required for infants 24 months and younger. LPA reviewed required documentation, verified Assistant Director can navigate CCLD website and how to locate Provider Information Notices (PINs).

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's visit. Exit interview conducted with Assistant Director, Angelina Vega. A copy of this report needs to be placed in facility file for public review. A Notice of Site Visit was posted on parent board for 30 days.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021
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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