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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153903811
Report Date: 07/25/2019
Date Signed: 07/25/2019 12:51:19 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:ESCOBAR, SILVIA FAMILY CHILD CAREFACILITY NUMBER:
153903811
ADMINISTRATOR:ESCOBAR, SILVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 858-0650
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:14CENSUS: 10DATE:
07/25/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Silvia EscobarTIME COMPLETED:
01:05 PM
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Licensing Program Analysts (LPAs) Caroline Harris and Angelica Mejia conducted a Plan of Correction visit today. LPAs met with licensee, Silvia Escobar and her assistant.

The purpose of todays visit is to clear deficiencies previously cited on 7/2/19. LPAs observed the licensee to have a current roster available for review. The licensee also had keep out of reach items in the kitchen and bathroom inaccessible to children by the use of replacing the child proof devises.

During the visit LPAs provided a Letter of Deficiency Citations Cleared. Exit interview was conducted with Silvia Escobar.

Per California Code of Regulations Title 22, Division 12, no deficiency was cited during today's visit.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
A Notice of Site Visit was posted on parent board.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2019
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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