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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153907340
Report Date: 11/16/2021
Date Signed: 12/01/2021 01:24:10 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:
11/16/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Kimberlie SchmidtTIME COMPLETED:
02:00 PM
NARRATIVE
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On 11/16/21 a case management inspection was conducted by Licensing Program Analyst (LPA) Caroline Harris. LPA met with licensee Kimberlie Schmidt. A census was taken and there were seven day care children. The purpose of this report is to cite violations which were discovered during a visit.

Upon arrival to the licensed day care, the LPA observed the licensee to have two infants and five other children. The LPA observed one of the infants to be asleep in a pack in play with a blanket on top of him/her.

California Code of Regulations, Title 22, Division 12, Chapter 3, are being cited on the attached LIC 9099D.

"Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months." Child Care Parent Notification Requirements LIC 9224 was provided and discussed (LIC 9224 -Acknowledgement of Receipt of Licensing Reports).

An exit interview was conducted with licensee, Kimberlie Schmidt. A copy of this report and appeal rights were provided to the licensee, Kimberlie Schmidt. A Notice of Site Visit Form was also provided to the licensee and is required to be posted on parent's board for 30 days.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2021
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: SCHMIDT DAYCARE
FACILITY NUMBER: 153907340
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)

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Type A
11/30/2021
Section Cited

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INFANT SAFE SLEEP Cribs or play yards shall be free from all loose articles and objects. This requirement was not met as evidenced by the LPA observing a sleeping infant in his/her play yard, with a blanket on top of the infant.
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This is an immediate risk to the health, safety or personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2021
LIC809 (FAS) - (06/04)
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