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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500309781
Report Date: 04/22/2022
Date Signed: 04/22/2022 11:07:01 AM


Document Has Been Signed on 04/22/2022 11:07 AM - 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: 12DATE:
04/22/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Barbara AlvaradoTIME COMPLETED:
11:30 AM
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On April 22, 2022, Licensing Program Analyst (LPA) C Brannon, conducted an announced case management Inspection to review pending application status and items required to complete change of capacity request. LPA met with Director, Barbara Alvarado, and toured the facility indoors and outdoors. Days and hours of operation are year-round Monday through Friday 7:00AM-5:30PM.

Prior visit conducted on 9/17/15, stated that the licensee requested an increase of capacity from 34 to 46 children, to allow for the facility to operate an exempt school age program that will accommodate up to 12 school aged children in a upstairs classroom. Due to no longer having an exempt school age program, prior director requested to decrease capacity to 34. LPA provided a list of required documents to complete the decrease in capacity. Prior director had made the request to decrease preschool capacity from 46 to 34.

During today's inspection, director, Barbara Alvarado, informed LPA that she would like to increase her preschool capacity, request a new licenses for infant and school age programs. LPA reviewed documents and requirements to move forward with these two programs.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with director, Barbara Alvarado.

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: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:
DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/22/2022
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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