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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153801386
Report Date: 02/28/2022
Date Signed: 03/02/2022 11:52:49 PM

Document Has Been Signed on 03/02/2022 11:52 PM - 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:FAIRGROUNDS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
153801386
ADMINISTRATOR:TOVAR, RITAFACILITY TYPE:
850
ADDRESS:931 BELLE TERRACETELEPHONE:
(661) 837-1582
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93304
CAPACITY: 92TOTAL ENROLLED CHILDREN: 77CENSUS: 46DATE:
02/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Cindy DiazTIME COMPLETED:
01:35 PM
NARRATIVE
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On 02/28/22, Licensing Program Analysts (LPAs) Juvenal Moctezuma & Jessika Thompson conducted an unannounced case Management inspection and met with Site supervisor, Cindy Diaz and discussed the purpose of the inspection and a tour of the center was conducted both inside. Census were taken.

Upon arrival, LPAs observed the center gate next to the parking lot where parents enter from to be opened due to construction work being done at facility. After meeting with site supervisor, Cindy it was confirmed that the center is getting repainted and the facility's roof is being pressured washed. LPAs observed children playing outside while construction workers were walking around the premises. LPAs notified Cindy that the licensee should have called licensing to notify the department that changes are being done to the facility and workers who are not associated to the facility will be at the premises while children are in care. LPAs explained that if changes are going to be made during hours of operation then the facility has to make sure that children don't have direct access to these areas or workers. Cindy understood.

Per California Code of Regulations, Title 22, Division 12, Chapter 1, The following deficiency was cited during todays inspection.

An exit interview conducted with Licensee/Director Cindy Diaz. A copy of this report and appeal rights were provided to Licensee/Director, Cindy Diaz.
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE: DATE: 02/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/28/2022
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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Document Has Been Signed on 03/02/2022 11:52 PM - It Cannot Be Edited


Created By: Juvenal Moctezuma On 02/28/2022 at 12:36 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: FAIRGROUNDS CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 153801386

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/28/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/04/2022
Section Cited
CCR
101237(a)

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Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s). This requirement was not met as evidenced by licensee failing to notify the department of construction work being done at the facility during hours of operation.
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Licensee will submit a plan detailing the type of construction work being completed at the facility. This plan to include the duration of the project, and how children in care will be adequately monitored and protected from potential hazardous conditions.
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 See LIC 809 for further details. This poses a potential risk to the health/safety or personal rights of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Michael Duarte
LICENSING EVALUATOR NAME:Juvenal Moctezuma
LICENSING EVALUATOR SIGNATURE:
DATE: 02/28/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/28/2022


LIC809 (FAS) - (06/04)
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