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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163909581
Report Date: 06/14/2021
Date Signed: 06/14/2021 12:53:44 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:BATES, DIANE FAMILY CHILD CAREFACILITY NUMBER:
163909581
ADMINISTRATOR:BATES, DIANEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(530) 415-5729
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:14CENSUS: 10DATE:
06/14/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Diane BatesTIME COMPLETED:
01:10 PM
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On 6/14/2021, 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 observe an above-ground swimming pool and fencing in the backyard of the facility. LPA inspected the backyard area observed a five foot fence surrounding the above-ground swimming pool. LPA observed the fence to have a fence that opened away from the swimming pool, however, it was not currently self-closing. LPA and Licensee discussed Community Care Licensing regulations, including the regulations for swimming pools to include a self-latching, self-closing, fence. Licensee will provide proof of the fence to be self-latching and self-closing prior to utilizing the backyard area for day care children.

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: 06/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2021
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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