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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801098
Report Date: 01/10/2020
Date Signed: 01/10/2020 11:17:22 AM

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:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
153801098
ADMINISTRATOR:MORENO, MARY ANNFACILITY TYPE:
840
ADDRESS:9903 CAMINO MEDIATELEPHONE:
(661) 665-7790
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:22CENSUS: 0DATE:
01/10/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Mary Ann MorenoTIME COMPLETED:
11:45 AM
NARRATIVE
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Licensing Program Analyst (LPA) Caroline Harris and Licensing Program Manager (LPM) Alice Juarez conducted an unannounced Plan of Correction (POC) visit today. A census was taken and a tour of the facility inside and outside was completed and sign in and sign out sheets were checked. LPA and LPM met with Director, Mary Ann Moreno.

The purpose of todays visit is to discuss and review the plan of corrections that were previously submitted to the Fresno Community Care Licensing office on 12/30/19. The LPA and LPM discussed the policies and procedures for daily health checks, reporting requirements and care and supervision with Ms. Moreno. Ms. Moreno agreed to update the above policies and procedures, outlining timelines, person's responsible and inspection of children and will conduct another staff meeting to review with her staff. Ms. Moreno will submit the new plan of corrections and staff attendance sheets to the Fresno CCL office by 1/14/2020.

Exit interview was conducted with Mary Ann Moreno.

Per California Code of Regulations Title 22, Division 12, no deficiency was cited during today's visit.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
A Notice of Site Visit was posted on parent board.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
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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