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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 540406964
Report Date: 06/26/2019
Date Signed: 06/28/2019 10:00:03 AM

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:LITTLE LAMB PRESCHOOL DAY CAREFACILITY NUMBER:
540406964
ADMINISTRATOR:AGUILAR, LAURAFACILITY TYPE:
850
ADDRESS:420 SEQUOIA DRIVETELEPHONE:
(559) 592-1935
CITY:EXETERSTATE: CAZIP CODE:
93221
CAPACITY:60CENSUS: 15DATE:
06/26/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Laura AguilarTIME COMPLETED:
11:00 AM
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On this date, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced inspection at the facility and met with Administrator, Laura Aguilar. LPA conducted an inspection at the request of Licensee regarding the possibility of adding a new playground structure at the facility. LPA and Licensee discussed the area the new playground structure would be placed at on the playground. Licensee advised LPA the facility would inform Community Care Licensing (CCL) when the structure would be installed and any requirements that may be needed if it was during preschool hours.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
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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