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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808652
Report Date: 08/09/2021
Date Signed: 08/09/2021 10:29:46 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:MAOF CESAR CHAVEZ PRESCHOOLFACILITY NUMBER:
153808652
ADMINISTRATOR:ORTIZ, NANCYFACILITY TYPE:
850
ADDRESS:410 CHANNA DRTELEPHONE:
(661) 778-6150
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY:176CENSUS: 30DATE:
08/09/2021
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Nancy OrtizTIME COMPLETED:
11:00 AM
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Licensing Program Analysts (LPAs) Brannon and Moctezuma conducted a case management inspection. LPAs met with Director, Nancy Ortiz. The purpose of today's inspection was to remeasure the inside space. Licensee had made structural and classroom changes that affected licensed capacity.

There are eight classrooms that provides service to preschool children, ages two to six years old. The approximate inside square footage is 5422 which will accommodate a capacity of 154 preschool children.
There are 13 toilets and 12 sinks/hand washing fixtures.

Due to the changes in the facility, a change in capacity is required. Licensee is to provide a new updated application with the corrected capacity of 154 preschool children, ages two to six years old; and required documentation to process required changes.


Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited. This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit was provided and required to be posted for 30 days. To order forms, etc. visit our website at www.ccld.ca.go
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2021
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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