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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500301324
Report Date: 05/10/2024
Date Signed: 05/13/2024 03:00:42 PM

Document Has Been Signed on 05/13/2024 03:00 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MONTE VISTA CHILDRENS CENTERFACILITY NUMBER:
500301324
ADMINISTRATOR/
DIRECTOR:		GONZALES, SHERRYFACILITY TYPE:
850
ADDRESS:1619 E MONTE VISTA AVENUETELEPHONE:
(209) 632-8477
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY: 108TOTAL ENROLLED CHILDREN: 108CENSUS: 43DATE:
05/10/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH: Ariana SederquistTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 05/10/2024 Licensing Program Analyst (LPA) Anita Tristan conducted a Case Management- Incident inspection regarding an UIR reported on 03/28/2024. LPA met with Director, Ariana Sederquist. LPA toured the facility, inside and outside and a census was taken.

On 03/19/24 Child #1 sustained an injury from a toy brought from home.

This appears to be an isolated incident and staff took appropriate measures to contact parents and followed the appropriate policies, regulations, and reporting requirements.

LPA and director discussed the facilities policies and procedures and there has been no other incidents of this nature.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiency cited during today’s visit.



Exit interview conducted and report was reviewed with Director, Ariana Sederquist.

Notice of Site Visit is provided and required to be posted for 30 days.

Cynthia Brannon
Anita Tristan
DATE: 04/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/02/2024
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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