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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801904
Report Date: 05/13/2019
Date Signed: 05/13/2019 02:11:20 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:MARTHA J. MORGAN CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801904
ADMINISTRATOR:FLORATOS, ANGELAFACILITY TYPE:
850
ADDRESS:3811 RIVER BLVDTELEPHONE:
(661) 873-2262
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93305
CAPACITY:55CENSUS: 12DATE:
05/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Angela Floratos, Site SupervisorTIME COMPLETED:
01:15 PM
NARRATIVE
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Licensing Program Analyst Pete Espinoza (LPA) conducted an Annual/Random Inspection today. LAP was met by Angela Floratos, Site Supervisor.

A individuals subject to criminal records review are associated to Main File - Harvey L. Hall Child Development Center #150801131

The facility will close for Summer effective May 24,2019 and re-open in Mid-August, 2019.





Inspection Tool Notes:
Type B 101217(a)(11) - A review of Personnel Records indicate a Health Screening is NOT available for review in the personnel records of Staff #5.
Type B HS-1596.8662(b)(1) - A review of Personnel Records indicates proof of successful completion of required Mandated Reporter Training is NOT available for review in the personnel records of Staff # 2
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2019
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: MARTHA J. MORGAN CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801904
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/13/2019

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101217(a)(11)
Staff Records - Personnel Records
(a) The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information: (11) A health screening as specified in Section 101216(g).

Deficient Practice Statement
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Inspection Tool Notes: A Health Screening is NOT available for review in the personnel records of Staff #5.
POC Due Date: 05/13/2019
Plan of Correction
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Site Supervisor obtained copy of Health Screening for Staff # 5 from Admin Office prior to end of visit
Deficiency Cleared
Type B
Section Cited
HSC
1596.8662(b)(1)
Staff Records
Mandated reporter training
Deficient Practice Statement
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An employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a). A review of Personnel records indicates there is no proof of completion of Mandated Reporter Training for Staff #2.
POC Due Date: 05/27/2019
Plan of Correction
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Licensee will mail to Fresno Regional Office a copy of the Mandated Reporter Training Certificate of completion for Staff #2 by 05/27/2019.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:
DATE: 05/13/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/13/2019
LIC809 (FAS) - (06/04)
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