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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543801736
Report Date: 09/09/2021
Date Signed: 09/14/2021 08:59:29 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:EARLIMART SCHOOL DISTRICT-EARLIMART PRESCHOOLFACILITY NUMBER:
543801736
ADMINISTRATOR:HERNANDEZ, JUDYFACILITY TYPE:
850
ADDRESS:192 S. CHURCHTELEPHONE:
(661) 849-2651
CITY:EARLIMARTSTATE: CAZIP CODE:
93219
CAPACITY:60CENSUS: 0DATE:
09/09/2021
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:George RodriguezTIME COMPLETED:
01:45 PM
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On 9/9/2021, Licensing Program Analyst (LPA) Juvenal Moctezuma conducted an announced case management inspection - other and met with Director of Educational Services, George Rodriguez. The reason for the inspection was to potentially do an increase of capacity in the near future and see what classrooms could be utilized and how many children would be allowed at one time. LPA measured 2 additional classrooms and went over the measurements with George. LPA toured the playground area and children's bathrooms which will be designated for preschool use only. LPA answered prelicensing questions for George whom stated he will potentially do a change of classroom to fit more preschool children. LPA also explained the prelicensing process to George since he is thinking of having a preschool at a different location. Also provided CCLD's website link where all the forms are located to do a change of classroom/capacity.

No deficiencies cited during today's visit.
A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.
THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2021
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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