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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500316982
Report Date: 04/29/2019
Date Signed: 04/29/2019 12:02:38 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:BRET HARTE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
500316982
ADMINISTRATOR:SIEGEL, ANNFACILITY TYPE:
850
ADDRESS:909 GLENN AVENUETELEPHONE:
(209) 576-4673
CITY:MODESTOSTATE: CAZIP CODE:
95358
CAPACITY:72CENSUS: 42DATE:
04/29/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kimbra DraperTIME COMPLETED:
12:40 PM
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LPA Henley conducted an unannounced annual random #3 inspection today. Met with Kimbra Draper, Program Coordinator. A tour of facility was conducted inside and outside. Staff and children were spoken to during visit. The following areas are in compliance during visit: There are no bodies of water. Firearms and ammunition are not on the premises. Storage area for poisons is locked. Disinfectants, hazardous items and medications are inaccessible to children. Furniture and equipment are sufficient, age appropriate and in good repair. Fire drills are conducted every month. The playground equipment and outdoor activity space is maintained and in good condition. Wood chips is being used as cushioning around the climbing equipment. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination, storage containers for solid waste are covered and all food or beverages are stored in covered containers at 45 degrees or less. Drinking water is available both indoors and outside. Menus are posted. The facility is in compliance with conditions and limitations specified on the license. Teacher/child ratios are maintained and adequate supervision is being provided during this visit. Sign in/sign out sheets maintained. No excluded individuals are present. Staff subject to a criminal record clearance or exemption are associated to the facility. First Aid/CPR reviewed and in compliance. Staff and children's files reviewed. Staff are current on immunization. Children's medication are on the premises. There is an Incidental Medical Services Plan on file with the department.

Per California Code of Regulations Title 22, Division 12, no deficiencies were cited today. Exit interview conducted. A Notice of Site Visit was posted on parent board.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 04/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2019
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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