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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 240406699
Report Date: 11/16/2021
Date Signed: 11/16/2021 02:01:44 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:MERCED COLLEGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
240406699
ADMINISTRATOR:JOSEPH, MICHELLEFACILITY TYPE:
830
ADDRESS:3600 M STREETTELEPHONE:
(209) 384-6245
CITY:MERCEDSTATE: CAZIP CODE:
95348
CAPACITY:30CENSUS: 9DATE:
11/16/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Michelle Joseph - DirectorTIME COMPLETED:
02:15 PM
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On 11/16/21 Licensing Program Analyst (LPA), Joseph Pacheco conducted an unannounced Case Management Inspection. The purpose of today's inspection was to discuss an incident report submitted to Community Care Licensing regarding an incident that occurred in the facility on 10/25/21. The Director stated that on that date there was a leak in the Water Classroom ceiling. Facility made a decision to close the classroom and have the room inspected. Facility contacted a repair company to inspect and repair the damage. The leak was caused due to damage on the roof. The classroom was closed for approximately three weeks while the repairs were taking place and reopened on 11/16/21. During today's inspection LPA inspected the classroom and did not observe any safety hazards or areas of concern. No children or staff were injured as a result of this incident.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2021
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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