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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500309781
Report Date: 04/28/2022
Date Signed: 04/28/2022 02:24:59 PM


Document Has Been Signed on 04/28/2022 02:24 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:METHODIST TINY TOTSFACILITY NUMBER:
500309781
ADMINISTRATOR:DESAIRE, RENEEFACILITY TYPE:
850
ADDRESS:850 16TH STREETTELEPHONE:
(209) 525-8687
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY:46CENSUS: DATE:
04/28/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Barbara AlvaradoTIME COMPLETED:
03:00 PM
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On April 28, 2022, Licensing Program Analyst (LPA) Brannon met with Director, Barbara Alvarado. During today's inspection, LPA toured the facility, took a census and measured classroom #6. The square footage of classroom #6 is 308, which will accommodate 8 preschool children.

During today's inspection, LPA reviewed paperwork with director. Classroom #6 had a wall torn down, making the room bigger. LPA observed that an inspection was not completed by licensing to inspect classroom #6.

LPA will review findings with management upon returning to the office.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's inspection. Exit interview conducted with director, Barbara Alvarado. A copy of this report needs to be placed in facility file for public review. A Notice of Site Visit was posted on parent board for 30 days.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:
DATE: 04/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/28/2022
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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