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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 150404574
Report Date: 05/31/2022
Date Signed: 06/01/2022 08:29:45 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/01/2022 08:29 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:ENRICHMENT ACTIVITY CENTER, THEFACILITY NUMBER:
150404574
ADMINISTRATOR:VAZQUEZ, ANGELAFACILITY TYPE:
775
ADDRESS:600 JEFFERSON STTELEPHONE:
(661) 721-3220
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 49CENSUS: 10DATE:
05/31/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Administrator/Program Supervisor, Angela VasquezTIME COMPLETED:
03:00 PM
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On 05/31/22, Licensing Program Analyst (LPA) L. Salazar arrived at the facility unannounced to conduct the Annual Infection Control Inspection. LPA was greeted by, Administrator, stated the purpose of the visit and was allowed entry into the facility. LPA entered through the central entry point where COVID precautionary measures were taken.

LPA toured the facility inside and out. Hand sanitizer and infection control postings were observed. Furniture in common areas and classrooms are spaced to promote distancing. Facility has designated visitation and isolation areas available. Facility does not dispense medication. A 30-day supply of PPE is located in a locked storage. LPA observed cleaning and disinfecting supply to be stored locked and hand washing postings were observed.

Fire Extinguisher was serviced on 04/20/2022. LPA observed a first aid kit with all the required items.


No deficiencies cited during this inspection.


A copy of this report and an exit interview was conducted with the Administrator/ Program Supervisor.

LPA requested the following updated forms by 06/15/22: LIC 308, LIC 309, LIC 500, LIC 610D, and LIC 9020.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2022
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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