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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801131
Report Date: 01/16/2020
Date Signed: 01/16/2020 11:57:58 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:HARVEY L. HALL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801131
ADMINISTRATOR:PEREZ-VELASQUEZ, ZENAIDAFACILITY TYPE:
850
ADDRESS:315 STINE ROADTELEPHONE:
(661) 835-5400
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:108CENSUS: 46DATE:
01/16/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director, Leticia LopezTIME COMPLETED:
12:15 PM
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On this date, Licensing Program Analyst (LPA) Jose Penate conducted an unannounced inspection to the facility. LPA met with Site Supervisor, Leticia Lopez (SS) and Administrative Manager, Letisha Brooks (AM). The purpose of today inspection was to follow up on an incident that was reported to CCL on 10/30/2019, LPA made the attempt to interview staff member and child involved in the incident but on today's date neither were present. After speaking with AM she stated that parties statements will be submitted by the end of the day. LPA will review statements once received and make the decision to return to the center or conclude incident based on the information received.

During time of inspection, LPA reviewed Safe Sleep with SS and AM. LPAs also reviewed regulations pertaining to Lead Exposure and reviewed the pamphlet.

Per California Code of Regulations Title 22, Division 12, Chapter 3, there are no deficiencies being cited on this inspection.

Notice of Site Visit to be posted for 30 days.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
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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