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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103810090
Report Date: 01/31/2020
Date Signed: 01/31/2020 01:04:07 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:CSN EARLY EDUCATION CENTERFACILITY NUMBER:
103810090
ADMINISTRATOR:GOMEZ SALINAFACILITY TYPE:
830
ADDRESS:1318 K STREETTELEPHONE:
(559) 399-3061
CITY:SANGERSTATE: CAZIP CODE:
93657
CAPACITY:9CENSUS: 2DATE:
01/31/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Maria HernandezTIME COMPLETED:
01:15 PM
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On 01/31/2020 Licensing Program Analyst (LPA) Rene Mancinas JR, conducted an unannounced case management inspection at facility. LPA met with Site Supervisor, Maria Hernandez. The purpose of today’s inspection was to follow up at facility since being issued an infant license on 01/16/2020.

LPA toured the infant room and observed two infants in care. Infants were napping in appropriate equipment as required per regulations. LPA did not observe any additional changes made to the infant room since it was last inspected. LPA provided infant staff with information regarding infant licensing requirements, additional resources available on the licensing websiteww.ccld.ca.gov, as well as information regarding infant sleeping practices.

Per California Code of Regulations Title 22 Division 12 Chapter 1, no deficiency is being cited today. Notice of Site Inspection to be posted for 30 days from today’s inspection.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene MancinasTELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2020
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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