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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500320590
Report Date: 06/25/2019
Date Signed: 06/25/2019 01:22:21 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:CCCDS-MIKE L. PEREZ, JR. CHILD DEVELOPMENT CENTERFACILITY NUMBER:
500320590
ADMINISTRATOR:CASTELLANOS, ANAFACILITY TYPE:
850
ADDRESS:655 HARDIN ROADTELEPHONE:
(209) 862-3985
CITY:NEWMANSTATE: CAZIP CODE:
95360
CAPACITY:60CENSUS: 24DATE:
06/25/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Ana CastellanosTIME COMPLETED:
01:45 PM
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An annual inspection #3 is being conducted by LPA Claudia Henley. Met with Director Ana Castellanos. A tour of facility was conducted inside and outside. Tour of the facility and census was taken. The following areas are in compliance during this visit: There are no bodies of water. There is installed and working carbon monoxide detectors in each classroom. Disinfectants, hazardous items and medications are inaccessible to children. Medication is stored properly and the necessary authorization forms on file. Furniture and equipment are sufficient, age appropriate and in good repair. Classroom #2 is currently not in use at this time due to low enrollment. The playground equipment and outdoor activity space is maintained and in good condition. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. The fire/disaster drill was conducted in June of 2019. Food preparation area is clean, food is protected from contamination. 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. 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. Sign in/sign out sheets maintained. Reviewed staff files. Staff are current on immunization and Child Abuse Mandated Reporter online training. Children's files were reviewed. An Incidental Medical Services Plan is on file. Medication (inhalers) are being given at this time to some children in care.

The child care center days and hours of operation are: Monday through Friday, 7:00 a.m. to 4:00 p.m. This is a Migrant Head Start program. The migrant center is open April to November of each year.

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

DATE: 06/25/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/25/2019
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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