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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203801180
Report Date: 04/07/2022
Date Signed: 04/07/2022 09:41:04 AM


Document Has Been Signed on 04/07/2022 09:41 AM - It Cannot Be Edited

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:SIERRA VISTA MIGRANT HEAD STARTFACILITY NUMBER:
203801180
ADMINISTRATOR:SANDOVAL, SYLVIAFACILITY TYPE:
850
ADDRESS:917 E. OLIVE AVENUETELEPHONE:
(559) 675-9137
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:88CENSUS: 0DATE:
04/07/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Lina BojorquezTIME COMPLETED:
10:00 AM
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On 4/7/22, Licensing Program Analyst (LPA) Brannon conducted an announced case management inspection on this date. LPA met with Center Director, Lina Bojorquez. The purpose of this inspection was to measure the preschool outside play yard, due to the licensed outside play yard changes.

Approximate outside measurement is 9462 square feet, which will accommodate licensed facility's capacity of 88 preschool children.

The preschool outside play yard has swings and climbing structure. Licensee is utilizing wood chip material as cushioning. There are two permanent shade structures, with cushioning on metal poles to assist in preventing injuries to children from running into the metal poles. LPA observed an age appropriate sticker on climbing structure.

Per staff, an igloo with fresh drinking water, cup dispenser and disposable cups provide uncontaminated drinking water to children in care while outside on the play yard.

There are no children present during today's inspection. Facility's session starts on Monday, April 11, 2022.

Per Title 22, Division 12, of the California Code of Regulations, no citation is issued. Exit interview conducted with Lina Bojorquez, Center Director. This report shall be made available to the public upon request. Notice of Site Visit was provided and required to be posted for 30 days.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:
DATE: 04/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/07/2022
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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