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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150400032
Report Date: 06/28/2023
Date Signed: 06/28/2023 11:35:10 AM

Document Has Been Signed on 06/28/2023 11:35 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:BAKERSFIELD PLAY CENTER, INCFACILITY NUMBER:
150400032
ADMINISTRATOR:ESPARZA, ANGIEFACILITY TYPE:
850
ADDRESS:1620 KENTUCKY STREETTELEPHONE:
(661) 325-4064
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93305
CAPACITY: 50TOTAL ENROLLED CHILDREN: 50CENSUS: 0DATE:
06/28/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:55 AM
MET WITH:Angie EsparzaTIME COMPLETED:
11:45 AM
NARRATIVE
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On 6/28/23 an Informal Office Meeting was conducted at the Fresno Regional Child Care Office. In attendance at this meeting were Site Supervisor Angie Esparza, Licensing Program Analyst (LPA) Nancy Her and Licensing Program Manager (LPM) Duane Matsubara. The purpose of this meeting was to discuss a recent violation of Title 22 Regulations.

The following violation was discussed:

Type A Deficiency cited: 101229(a)(1) Responsibility for Providing Care and Supervision

On 04/27/2023 a child was left without the supervision of a teacher, including visual supervision which resulted in the injury of a child in care.

It was discussed with Site Supervisor regulations regarding care and supervision and responsibilities of parent volunteers. Licensing discussed preventative measures and offered training if needed.

It was also discussed with Site Supervisor that continued violations of Title 22 Regulations may result in a Non-Compliance meeting or a possible referral of the Child Care Center to the Legal Division for possible Administrative Action.



An exit interview was conducted and report was reviewed with the facility representative Angie Esparza.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2023
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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