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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543810094
Report Date: 02/20/2020
Date Signed: 02/20/2020 09:20:05 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:BELLEVIEW PS-PUSDFACILITY NUMBER:
543810094
ADMINISTRATOR:ORTEGA-ORTIZ, REBECCAFACILITY TYPE:
850
ADDRESS:534 N E STTELEPHONE:
(559) 782-7120
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:24CENSUS: 0DATE:
02/20/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Rebecca Ortega-OrtizTIME COMPLETED:
09:30 AM
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Licensing Program Analysts (LPAs) Brannon and Espinoza conducted a pre-licensing visit. A prior pre-licensing visit was conducted on 2/4/20. Applicant had several items to correct. During today's visit, LPAs met with Director of Early Learning, Rebecca Ortega-Otriz. The following items need to be:
1. The brick planters need repairs.
2. A waiver request for the outside play area with copies of play schedule from licensee to ensure no commingling between this facility and the other programs.

Pending a final file review and completion of above items, a recommendation will be made to license the above facility for a capacity of 24 preschool children.
SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 341-5155
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2020
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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