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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801159
Report Date: 04/13/2023
Date Signed: 04/13/2023 10:41:27 AM


Document Has Been Signed on 04/13/2023 10:41 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:BAKERSFIELD PARENT NURSERYFACILITY NUMBER:
153801159
ADMINISTRATOR:VILLA, CYNTHIAFACILITY TYPE:
850
ADDRESS:2080 STINE ROAD #2TELEPHONE:
(661) 832-4690
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:30CENSUS: 20DATE:
04/13/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Cynthia VillaTIME COMPLETED:
11:00 AM
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On 4/13/2023, Licensing Program Analysts (LPAs) Jose Penate and Martha DeHaro, conducted a Case Management inspection and met with Director, Cynthia Villa.

The purpose of this inspection is to inspect a recently added room to the center. The room will not add additional capacity to the license. The room will only be utilized for reading and play time, the room has child aged appropriate furniture and toys. The fire department has inspected the room and has been approved. The center has smoke detectors, and carbon monoxide detector that met Community Care Licensing (CCL) regulations.

LPA Penate advised Director Cynthia Villa the day care room is approved for use.

An exit interview was conducted and report was reviewed with the Director, Cynthia Villa.
A copy of the evaluation report, Appeal Rights and the Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:
DATE: 04/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/13/2023
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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