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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153907340
Report Date: 01/16/2020
Date Signed: 01/16/2020 01:17:18 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:SCHMIDT DAYCAREFACILITY NUMBER:
153907340
ADMINISTRATOR:SCHMIDT, KIMBERLIE & JOHNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 487-4723
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:14CENSUS: 7DATE:
01/16/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Kimberlie SchmidtTIME COMPLETED:
02:16 PM
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Licensing Program Analyst (LPA) Caroline Harris conducted a Plan of Correction visit today. LPA met with licensee, Kimberlie Schmidt. Also present was her daughter.

The purpose of todays visit is to clear deficiencies that were previously cited on 12/17/19. LPA reviewed children's files and observed all required forms and immunizations in each of child's files. The licensee and her daughter further had completed the Mandated Reporter training and also conducted a fire drill.

During the visit the LPA provided a Letter of Deficiency Citations Cleared. Exit interview conducted with Kimberlie Schmidt.

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: 01/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2020
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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