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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808099
Report Date: 07/15/2019
Date Signed: 07/15/2019 01:31:58 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:
503808099
ADMINISTRATOR:CASTELLANOS, ANAFACILITY TYPE:
830
ADDRESS:655 HARDIN ROADTELEPHONE:
(209) 862-1605
CITY:NEWMANSTATE: CAZIP CODE:
95360
CAPACITY:18CENSUS: 0DATE:
07/15/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Jennie PezelTIME COMPLETED:
02:00 PM
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LPA Claudia Henley conducted a case management inspection on this date. I was met by Head Teacher Jennie Pezel. The department received an incident report which stated that on 7/1/19, the infant/toddler classroom flooded due to a pipe burst in the kitchen area over a weekend. As of this date, LPA observed construction workers inside of the classroom working on the remaining water issue on the floor and wall areas. The construction will not be completed for at least another two weeks due to moisture and mold. Infant/toddler children have been relocated to other child care centers or have found other alternate care until the construction is complete.

LPA Henley advised Ms. Pezel that the licensee or director notify the department once construction on the floor and walls have been completed and when they will re-open and start providing child care for the infant/toddler children.

No deficiencies were cited during the visit today.

Site Visit Notice posted. Exit interview was conducted.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2019
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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