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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500320590
Report Date: 11/13/2019
Date Signed: 11/13/2019 10:12:24 AM

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: 20DATE:
11/13/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
07:45 AM
MET WITH:Concha AlvarezTIME COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Brannon met with Concha Alvarez, Executive Director. Licensee is decreasing their preschool capacity from 60 to 40.
LPA inspected facility, took inside and outside measurements. Concha Alvarez accompanied LPA while taking measurements.
There are two classrooms utilized by preschool children. Classroom 1 has a pony wall, dividing the two classrooms. Licensee is providing toilet training in classroom 1. There is a changing table with a sink within arms reach. There are a total of three sinks and four toilets.
The approximate inside square footage is 1509, which will accommodate the requested capacity of 40 preschool children. The approximate outside square footage is 10660, which will accommodate the requested capacity of 40 preschool children. At this time, licensee is utilizing an igloo with disposable cups for children's inside and outside drinking water.
Licensee has two climbing structures, with the age stickers reflecting 2 to 5 years old. Licensee is using the rubber pour in place for cushioning. Shade is being provided by mature trees and two shade structures.
The following need to be corrected. Licensee will email pictures showing correction:
1) A disposable cup dispenser is required for drinking water.
2) Cubbies are to be anchored to prevent tipping.
A final review and receipt of correction of the above items, the new license will reflect the decrease of the preschool capacity from 60 to 40 preschool children.
No deficiencies cited during today's visit.
A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
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) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 11/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2019
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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