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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801099
Report Date: 02/22/2022
Date Signed: 02/22/2022 10:36:40 AM

Document Has Been Signed on 02/22/2022 10:36 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
153801099
ADMINISTRATOR:MORENO, MARY ANNFACILITY TYPE:
850
ADDRESS:9903 CAMINO MEDIATELEPHONE:
(661) 665-7790
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93311
CAPACITY: 88TOTAL ENROLLED CHILDREN: 88CENSUS: 57DATE:
02/22/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Mary Ann MorenoTIME COMPLETED:
10:45 AM
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On 2/22/22 Licensing Program Analyst (LPA) Caroline Harris conducted a Plan of Correction inspection. LPA met with Director, Mary Ann Moreno and a census was taken.

The purpose of the inspection is to review the sign in and sign out sheets per deficiency cited on 1/6/22. LPA reviewed the sign in and sign out forms and observed all children to be signed in with the correct times and full signatures, however some parents had signed in under the incorrect date, as there was a holiday. The LPA discussed marking off areas when there is a holiday or absence.

During today’s inspection, LPA provided a Letter of Deficiency Citations Cleared. An exit interview was conducted with Mary Ann Moreno. Per Chapter 1, Division 12, Title 22 of the California Code of Regulations, no deficiency was cited during today’s inspection.

A copy of this report and LIC 9213 Notice of Site Inspection were provided to Mary Ann Moreno. This report shall be made available to the public upon request. LIC 9213 Notice of Site Inspection is required to be posted for 30 days.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 02/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/22/2022
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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