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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503810069
Report Date: 08/09/2019
Date Signed: 08/09/2019 03:01:54 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:EL CONCILIO RIVERBANK CHILD DEVELOPMENT CENTERFACILITY NUMBER:
503810069
ADMINISTRATOR:BERNAL, CARMENFACILITY TYPE:
850
ADDRESS:6443 ESTELLE AVETELEPHONE:
(209) 581-9000
CITY:RIVERBANKSTATE: CAZIP CODE:
95367
CAPACITY:30CENSUS: 16DATE:
08/09/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Carmen BernalTIME COMPLETED:
03:30 PM
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LPA Claudia Henley conducted a case management inspection today due to an incident which occurred on 7/18/19. I was met by head teacher A. Trejo & Director Carmen Bernal. A tour of the facility inside and outside was conducted. Interviewed with staff regarding the incident which occurred on 7/18/19 at approximately 8:45 a.m. Upon interview, staff stated that a parent had noticed out on the driveway area, smoke coming out one of the sewers and smoke was coming out of the vent roof of the church located just across the driveway. Children and staff evacuated the child care building to a safe location. The fire department and staff from the City of Riverbank came to the facility. Staff at the center was informed by the City of Riverbank that they were conducting a non-toxic and odor free smoke test in the sewer's line. Staff was not notified prior to the test by the City of Riverbank. Staff stated that they have been advised by the city that in the future they will be notified in advance of any testing on the sewer system.

BASED UPON INFORMATION THAT WAS OBTAINED FROM THE FACILITY STAFF, IT IS DETERMINED THAT THERE WERE NO VIOLATION OF CCL REGULATIONS. NO FURTHER ACTION IS REQUIRED AT THIS TIME.

Site Visit Notice posted on 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: 08/09/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2019
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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