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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801157
Report Date: 08/13/2021
Date Signed: 08/13/2021 09:36:14 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:HERITAGE PARK CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801157
ADMINISTRATOR:CRISTINA HERRERAFACILITY TYPE:
850
ADDRESS:2320 MT. VERNON AVENUETELEPHONE:
(661) 873-1922
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:20CENSUS: 0DATE:
08/13/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Marivel TorresTIME COMPLETED:
10:00 AM
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 Licensing Program Analyst (LPA) Brannon conducted a case management inspection. LPA met with site supervisor, Marivel Torres. Upon arrival, LPA was informed that facility will start providing child care on 8/16/21. Hours of operation will be Monday through Friday, 8:00 AM to 1:45 PM. Upon the arrival of the last preschool child, the gate will be locked. Facility phone number is (661) 873-1922.
LPA walked through the facility with site supervisor. LPA reviewed the new tool inspection, required postings for parents to view and reviewed buildings and grounds requirements. LPA reviewed the appropriate age sticker on climbing equipment. LPA recommended for staff to have an extra age appropriate sticker on hand as the sticker has been torn and is worn.
Per California Code of Regulations Title 22, Division 12, no deficiency cited. Exit interview conducted with the site supervisor, Marivel Torres. A copy of this report need to be placed in facility file for public review. A Notice of Site Visit was posted on parent board.
The following documents should be posted at the facility. In order for facility to meet the requirements of parents being able to view the parent board, it should be posted outside during the time when parents are not coming into the preschool classroom.
Ø PUB 269 – child passenger restraint systems poster
Ø PUB 393 – Notification of Parents Rights
Ø License
Ø Menus
Ø LIC 613A – Personal Rights form
Ø LIC 610 – Disaster Plan
Ø LIC 9148 – Earthquake Preparedness Checklist
A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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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