<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153907939
Report Date: 06/11/2019
Date Signed: 06/11/2019 10:15:35 AM

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:PACE, CARLA FAMILY CHILD CAREFACILITY NUMBER:
153907939
ADMINISTRATOR:PACE, CARLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 664-8709
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:14CENSUS: 11DATE:
06/11/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Carla PaceTIME COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
An unannounced case management visit was conducted today by Licensing Program Analyst (LPA) Caroline Harris. Met with licensee Carla Pace. Also present were two assistants. A census was taken. The purpose of todays visit was to add Bedroom #2 to the day care license for infant sleeping use. LPA observed the bedroom to be free of hazardous items, with five cribs in the room. Keep out of reach items were placed up high on a shelving unit. The licensee made changes to the facility sketch.

LPA also provided the licensee with information on Safe Sleep requirements and reviewed the regulation changes and check in process, along with the infant sleeping plan form. Information on Lead Poisoning was also provided to the licensee and she was informed that copies need to be provided to all current parents and any future parents of children enrolled along with posting the information on the parent board.

The bedroom #2 currently meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of California Code of Regulations and the use of the bedroom #2 is approved.


Exit interview conducted with licensee Carla Pace. Notice of site visit 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: 06/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1