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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503600806
Report Date: 03/07/2022
Date Signed: 03/07/2022 02:11:53 PM


Document Has Been Signed on 03/07/2022 02:11 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:SALIDA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
503600806
ADMINISTRATOR:VANDER WEIDE, TANYAFACILITY TYPE:
850
ADDRESS:4519 FINNEY ROADTELEPHONE:
(209) 543-3102
CITY:SALIDASTATE: CAZIP CODE:
95368
CAPACITY:51CENSUS: 8DATE:
03/07/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:SANTOS, BETTYTIME COMPLETED:
02:25 PM
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On 3/7/2022, Licensing Program Analysts (LPA), Roman Iglesias, conducted an unannounced Case Management inspection due to an Unusual Incident Report (UIR) that occurred on 2/8/2022. According to the UIR dated 2/8/2022, while the child was playing outdoors, the child's foot became tangled on the "second bar" that was located in the ground. The child fell and hit the left side of his/her mouth on the "bar", which resulted in the child's tooth needing to be extracted as well as the child having a bruise on his/her left eye lid.

LPA met with Teacher Betty Santos and explained the purpose of the inspection. LPA also conducted an indoor/outdoor facility tour and took a census. During the indoor inspection, LPA noticed that the children were napping on mats. LPA also observed that the mat spacing was not arranged so that each child had access to a walkway without having to walk on or over the mats of other children. Additionally, LPA spoke with the child that fell and had his/her tooth extracted.

Per California Code of Regulations Title 22, Division 12, Chapter 1, no deficiency is cited today.

Notice of Site Inspection to be posted for 30 days.

SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Roman IglesiasTELEPHONE: (916) 809-3236
LICENSING EVALUATOR SIGNATURE:
DATE: 03/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/07/2022
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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