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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540404140
Report Date: 10/21/2019
Date Signed: 10/21/2019 03:27:17 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:RICHGROVE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
540404140
ADMINISTRATOR:PARMA-PEREZ, VIRGINIAFACILITY TYPE:
850
ADDRESS:20812 GROVE DRIVETELEPHONE:
(661) 725-0144
CITY:RICHGROVESTATE: CAZIP CODE:
93261
CAPACITY:99CENSUS: 46DATE:
10/21/2019
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Virginia Parma-Perez TIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Jose Penate conducted a Case Management - Incident inspection for an incident which occurred on 09/11/2019. LPA met with Site Supervisor, Virginia Parma-Perez. LPA toured facility inside and outside and took census.

On 09/11/2019 staff reported an incident that occurred in classroom 4A, this classroom is attached to 4B in the same room and it is separated by a half wall. LPA interviewed Staff to verify the incident that was called in to CCL in regards to lack of supervision.

After interviewing staff, LPA verified that two staff members were in each classroom and had visual supervision of all children in care. LPA discussed that a plan should be placed in classroom 4A for any teachers/staff that are filling in, so they are aware of procedures needing to be completed and not allowing for classrooms to be out of ratio or lack of supervision.

LPA also reviewed regulations pertaining to reporting requirements.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.

Site Visit Notice posted on the parent board.

Exit interview was conducted with Site Supervisor,Virginia Perez-Parma.

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Jose PenateTELEPHONE: (559) 341-5860
LICENSING EVALUATOR SIGNATURE:

DATE: 10/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2019
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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