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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 200406914
Report Date: 06/02/2022
Date Signed: 06/02/2022 04:12:43 PM

Document Has Been Signed on 06/02/2022 04:12 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:EASTON ARCOLA MIGRANT HEAD STARTFACILITY NUMBER:
200406914
ADMINISTRATOR:SANDOVAL, SYLVIAFACILITY TYPE:
850
ADDRESS:29551 AVENUE 8TELEPHONE:
(559) 673-0452
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: 0DATE:
06/02/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Patty AlmanzaTIME COMPLETED:
04:20 PM
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On 06/02/22, Licensing Program Analyst (LPA) Angelica Slaughter conducted a Licensee Initiated Case Management inspection at the facility and met with CAPMC Health Service Content Specialist, Patty Almanza. The purpose of the visit was to inspect a newly installed playground structure at the facility. Upon LPAs arrival, Ms. Almanza stated there was some mis-communication and unfortunately, the play structure has not been completed and is not ready for final inspection. LPA advised Ms. Almanza that LPA will return at a later date after installation has been completed to conduct the inspection. Until the new play structure is approved by the Department, daycare children may not use the structure. Currently, because there is no play structure available for children's use, children take supervised walks outside to give them a break from inside classroom time.

Per Chapter 1, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.

Exit interview was conducted with Patty Almanza. Ms. Almanza was provided a copy of the Facility Evaluation Report (LIC 809), appeal rights, and the Notice of Site Visit form (LIC 9213). The LIC 809 is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Angelica Slaughter
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2022
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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