<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801893
Report Date: 12/03/2021
Date Signed: 12/03/2021 01:43:32 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:BALDWIN DAYCAREFACILITY NUMBER:
103801893
ADMINISTRATOR:WARD, VERONICAFACILITY TYPE:
840
ADDRESS:3839 N. HUGHESTELEPHONE:
(559) 225-6580
CITY:FRESNOSTATE: CAZIP CODE:
93705
CAPACITY:13CENSUS: 3DATE:
12/03/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Brenda BaldwinTIME 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 December 3, 2021, Licensing Program Analyst (LPA) met with licensee, Brenda Baldwin. During today's visit, LPA toured the facility, inside and outside. LPA observed three school children being supervised by one staff.
This inspection was conducted due to licensee has requested a change in capacity for the school age license. Prior inspection was conducted on October 12, 2021 by LPA Moctezuma. During this inspection, preschool classroom and outside play yard was measured. There was a list of corrections for licensee to correct before today's inspection.
The items listed on previous report dated, 10/12/2021 to be corrected, LPA verified correction. An updated granted fire clearance for a capacity of 25 school age children has been received.
A request for sharing the outside play yard has been received. The shared outside waiver request will be forwarded to Licensing Program Manager for approval upon returning to the office.
Pending a final file review, a recommendation will be made to license the above facility for a capacity of 25 school age children.
The following documents should be posted at the facility:
Ø PUB 269 – child passenger restraint systems poster
Ø PUB 393 – Notification of Parents Rights
Ø License
Ø Menus
Ø LIC 613A – Personal Rights form
Ø LIC 610 – Disaster Plan
Ø LIC 9148 – Earthquake Preparedness Checklist
Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited. Exit interview conducted and report was reviewed with Director, Veronica Ward.

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.

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 12/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2021
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 1