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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801021
Report Date: 12/16/2019
Date Signed: 12/16/2019 12:02:56 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:FIRST EXPERIENCES AT F.U.M.C.FACILITY NUMBER:
153801021
ADMINISTRATOR:ELSBERRY, JULIEFACILITY TYPE:
850
ADDRESS:4600 STOCKDALE HIGHWAYTELEPHONE:
(661) 395-0225
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:66CENSUS: 48DATE:
12/16/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Director, Julie ElsberryTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Jose Penate conducted a Case Management Incident inspection for an incident that was called into our office. LPA met with Director, Julie Elsberry. LPA toured facility inside and outside and took census.

LPA interviewed staff and asked them a series of questions. After interviewing staff members and file reviews LPA verified that children are given their own lunch bags and no child is sharing food or staff is not mishandling any food.

LPA confirmed with staff that parents are not instructed to bring specific food for children's lunch, each parent is allowed to bring any food for child's lunch as well as afternoon snack. If parent does not agree to snack facility is providing for child parent can bring an alternate snack.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.

Site Visit Notice posted on the parent board. Exit interview was conducted with Director, Julie Elsberry.

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2019
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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