<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808647
Report Date: 05/13/2022
Date Signed: 05/13/2022 01:09:58 PM


Document Has Been Signed on 05/13/2022 01:09 PM - 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:DEBORAH CLIPPER LIVINGSTON CHILD DEVELOPMENT CTR.FACILITY NUMBER:
243808647
ADMINISTRATOR:GARDUNO, LETICIAFACILITY TYPE:
830
ADDRESS:1001 F STREETTELEPHONE:
(209) 581-9000
CITY:LIVINGSTONSTATE: CAZIP CODE:
95334
CAPACITY:9CENSUS: 2DATE:
05/13/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Leticia Garduno - Site SupervisorTIME COMPLETED:
01:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 5/13/22, Licensing Program Analysts (LPAs) Joseph Pacheco and Cynthia Brannon conducted an unannounced case management inspection for the infant license. LPAs met with acting supervisor, Leticia Garduno. The purpose of today’s inspection was to discuss Title 22 regulations and provide technical assistance. LPAs toured the facility inside and outside and a census was taken. LPAs discussed the purpose of the inspection with the acting supervisor. This facility operates seasonally from May through November each year. Hours of operation are Monday - Friday, 8:00am - 4:30pm.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with acting supervisor, Leticia Garduno.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:
DATE: 05/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/13/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1