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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801131
Report Date: 02/24/2021
Date Signed: 02/24/2021 01:57:27 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:HARVEY L. HALL CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801131
ADMINISTRATOR:LOPEZ, LETISIAFACILITY TYPE:
850
ADDRESS:315 STINE ROADTELEPHONE:
(661) 835-5400
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:108CENSUS: 30DATE:
02/24/2021
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Site Supervisor, Letisia LopezTIME 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 02/24/2021, Licensing Program Analyst (LPA) Jose Penate conducted a case management inspection with Site Supervisor (SS), Letisia Lopez. The purpose of the case management inspection was to discuss Community Care Licensing (CCL) regulations and COVID-19 recommendations and guidelines.

LPA discussed with SS the importance of following all California Department of Public Health (CDPH), California Department of Social Services (CDSS), and local Public Health Department (PHD) COVID-19 guidelines and recommendations, including the following: Providers must implement screening procedures for all staff and children before entering the facility. Ask all individuals about COVID-19 symptoms within the last 24 hours and whether anyone in the their home has had COVID-19 symptoms or a positive test. Exclude anyone who has an affirmative response on any of these points.

LPA also reminded SS to contact Community Care Licensing (CCL) regarding any exposures to COVID-19 or any positive COVID-19 test results for anyone having contact at or at the center. LPA also gathered a secondary phone number to contact for any COVID-19 updates from any exposures at the facility.

Per California Code of Regulations, Title 22, Division 12, no deficiencies were found.

Exit interview was conducted with SS. A Notice of Site Visit form (LIC 9213) and a copy of the Facility Evaluation Report (LIC 809) were left with SS. SS was further advised the LIC 809 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2021
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