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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153808664
Report Date: 07/15/2021
Date Signed: 07/15/2021 12:12:20 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:LIL' EXPLORERSFACILITY NUMBER:
153808664
ADMINISTRATOR:BLANKENSHIP,MICHELLEFACILITY TYPE:
830
ADDRESS:8800 HARRIS ROADTELEPHONE:
(661) 665-1200
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:12CENSUS: 90DATE:
07/15/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Dawn HollemanTIME COMPLETED:
12:30 PM
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On 7/15/21 Licensing Program Analysts (LPAs) Caroline Harris and Cynthia Brannon conducted a Plan of Correction inspection. LPAs met with Administrator, Dawn Holleman and toured the center both inside and outside. A census was taken.

The purpose of todays inspection is to review children's files per deficiencies cited on 6/16/21. LPAs reviewed children's files and observed copies of LIC 9224 Acknowledgement of Receipt of Licensing Report forms in each child's file. The licensee also provided the LPA's a copy of the sign in sheet for the SIDS training that the staff completed.

During today’s inspection, LPAs provided a Letter of Deficiency Citations Cleared. An exit interview was conducted with Dawn Holleman. Per Chapter 1, Division 12, Title 22 of the California Code of Regulations,no deficiency was cited during today’s inspection.

A copy of this report and LIC 9213 Notice of Site Inspection were provided to the Administrator, Dawn Holleman. This report shall be made available to the public upon request. The LIC 9213 Notice of Site Inspection is required to be posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2021
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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