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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163909581
Report Date: 06/03/2021
Date Signed: 06/08/2021 09:36:42 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:BATES, DIANE FAMILY CHILD CAREFACILITY NUMBER:
163909581
ADMINISTRATOR:BATES, DIANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 415-5729
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:14CENSUS: 9DATE:
06/03/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Diane BatesTIME COMPLETED:
12:20 PM
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On 6/3/2021, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced inspection at the facility and met with Licensee, Diane Bates. The purpose of the inspection was to discuss an above-ground swimming pool and fencing in the backyard of the facility. LPA inspected the backyard area and discussed Community Care Licensing regulations with Licensee, including the regulations for swimming pools to include a self-latching, self-closing, fence that opens away from the swimming pool. Licensee is in the process of completing the regulation fencing for an above-ground swimming pool. The backyard is currently off-limits to day care children. Licensee will request another inspection by LPA once the above-ground swimming pool and fence are complete.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies were observed today.

Exit interview was conducted with Licensee. Licensee was provided a copy of the Facility Evaluation Report (LIC 809) and the Notice of Site Visit form (LIC 9213). The LIC 809 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021
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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