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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810010
Report Date: 08/29/2019
Date Signed: 08/29/2019 04:15:08 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 - PATTERSON CHILD DEVELOPMENT CENTERFACILITY NUMBER:
503810010
ADMINISTRATOR:AYALA, SANDRAFACILITY TYPE:
830
ADDRESS:456 EUREKA STTELEPHONE:
(209) 892-8130
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY:18CENSUS: 10DATE:
08/29/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Sandra AyalaTIME COMPLETED:
05:00 PM
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An annual inspection #2 is being conducted by LPA's Claudia Henley & G. Badhesha. Met with Sandra Ayala, Site Supervisor. A tour of facility was conducted inside and outside. There were 10 infants and toddlers present. Staff and children were spoken to during visit. The following areas are in compliance during this visit: There are no bodies of water. Poisons are inaccessible to children. Disinfectants, hazardous items are inaccessible to children. Medication is being given at this time and is stored according to Title 22 Regulations. Licensee has an Incidental Medical Services Plan on file with the department. Furniture and equipment are sufficient, age appropriate and in good repair. There is a playground waiver on file. The playground equipment and outdoor activity space is maintained and in good condition. Adequate cushioning is being provided out on the play area. Diaper changing area is sanitary. Children's food and bottles are labeled. Crib area is sanitary and cribs in good repair. Children's toilets, hand washing facilities are sanitary. Rooms are safe and clean. Food preparation area is clean, food is protected from contamination. Fire/disaster drill was conducted in July of 2019. 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. LPA verified that all employees are background cleared and associated to this facility. Staff files reviewed. Staff are current on record immunization and Child Abuse Mandated Reporter online training. First Aid/CPR reviewed and in compliance. Sign in/sign out sheets maintained. Reviewed children's files, including the Needs & Service Plans.

No deficiencies were cited.

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: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
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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