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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911190
Report Date: 08/03/2020
Date Signed: 08/07/2020 12:35:36 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:BURDICK, SHAUNA FAMILY CHILD CAREFACILITY NUMBER:
153911190
ADMINISTRATOR:BURDICK, SHAUNAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 863-8697
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY:14CENSUS: 7DATE:
08/03/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Shauna BurdickTIME COMPLETED:
01:30 PM
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On 8/3/20, Licensing Program Analyst, (LPA) Caroline Harris conducted a virtual case management visit. Due to the COVID-19 pandemic, no one is available to conduct an in person visit. The LPA met with licensee, Shauna Burdick. A census was taken. The purpose of todays visit was to add the use of the fenced back yard area to the day care, so that the children may play outside. LPA observed the back yard area to be free of hazardous items and keep out of reach items were placed inaccessible to children. Fence gates were secured and the LPA observed the licensee to have numerous toys for the children. Licensee completed a facility sketch of the back yard and turned it in.

The back yard 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 back yard is approved.


Exit interview was conducted with licensee, Shauna Burdick via telephone call. A copy of this report was e-mailed to the licensee, Shauna Burdick who was asked to sign the report and send a copy back to the Fresno CCL office.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:

DATE: 08/03/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2020
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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