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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243810074
Report Date: 06/22/2020
Date Signed: 06/22/2020 02:36:33 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:BUHACH PRESCHOOLFACILITY NUMBER:
243810074
ADMINISTRATOR:JUAN GAMAFACILITY TYPE:
840
ADDRESS:760 LOUGHBOROUGH DRTELEPHONE:
(209) 489-2008
CITY:MERCEDSTATE: CAZIP CODE:
95348
CAPACITY:118CENSUS: 0DATE:
06/22/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Juan GamaTIME COMPLETED:
03:00 PM
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On June 22, 2020 Licensing Program Analysts (LPAs) Ginny Badhesha and Claudia Henley conducted a case management visit. LPAs observed that the corrections had been made. LPAs will be taking the facility from inactive to active effective today.

LPAs discussed COVID-19 policy and procedures. LPAs observed hand washing signs in the restrooms and a no visitor policy on the front door.

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

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

A Notice of Site Visit Form (LIC 9213) was posted on parent's board and must remain posted for 30 days.

SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Gagandip BadheshaTELEPHONE: (559) 575-6900
LICENSING EVALUATOR SIGNATURE:

DATE: 06/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2020
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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