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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240405359
Report Date: 05/26/2021
Date Signed: 05/26/2021 10:29:20 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:BEAR COUNTRY PRESCHOOL & DAY CAREFACILITY NUMBER:
240405359
ADMINISTRATOR:WOLF, REGINA R.FACILITY TYPE:
840
ADDRESS:2115 WARDROBE AVENUETELEPHONE:
(209) 722-2327
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:25CENSUS: 15DATE:
05/26/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Regina Wolf - DirectorTIME COMPLETED:
10:30 AM
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On 5/26/21, Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced case management inspection. LPA met with Director to discuss Community Care Licensing (CCL) regulations. A tour of the facility was made and a census was taken. LPA discussed the purpose of the inspection with Director. During today's inspection LPA observed a dome shaped, climbing play structure that was missing paint. LPA also observed rust and exposed hardware on the structure. No day care children were using the structure at the time of the inspection. LPA advised for Director to have the dome shaped play structure inspected by a Certified Playground Safety Inspector (CPSI) and follow their guidance and/or recommendations. LPA provided Director with a list of CPSI inspectors during today's inspection.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, no deficiencies were found.:

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit Form is required to be posted for 30 days.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 05/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2021
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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