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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153903811
Report Date: 11/04/2021
Date Signed: 11/04/2021 12:51:03 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: 6DATE:
11/04/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Silvia EscobarTIME COMPLETED:
01:30 PM
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On 11/4/21 Licensing Program Analyst (LPA) Caroline Harris conducted a Plan of Correction inspection. LPA met with licensee Silvia Escobar. Also present was her assistant and her daughter who helped interpret. A census was taken and there were six day care children present. .

The purpose of todays inspection is to clear deficiencies that were previously cited on 10/11/21. LPA reviewed staff files and observed copies of immunization records and all required licensing forms and information in each staff file. LPA also observed the licensee to have the Individual Sleep Plan competed for the infant in care. Lastly the licensee provided a statement of the Safe Sleep requirements and what those guidelines are.

During today’s inspection, LPA provided Letters of Deficiency Citations Cleared. An exit interview was conducted with Silvia Escobar. Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiency was cited during today’s inspection.

A copy of this report along and LIC 9213 Notice of Site Inspection were provided to the licensee Silvia Escobar. This report shall be made available to the public upon request. LIC 9213 Notice of Site Inspection is required to be posted for 30 days.

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: 11/04/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2021
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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