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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203810212
Report Date: 08/11/2022
Date Signed: 08/11/2022 02:17:42 PM

Document Has Been Signed on 08/11/2022 02:17 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:CHAVEZ STATE PRESCHOOLFACILITY NUMBER:
203810212
ADMINISTRATOR:MCPHERSON, STEPHANIEFACILITY TYPE:
850
ADDRESS:2600 E PECAN AVETELEPHONE:
(559) 675-4490
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/11/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Brenda NaranjoTIME COMPLETED:
02:30 PM
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On August 11, 2022, Licensing Program Analyst (LPA) C Brannon conducted an announced prelicensing inspection and met with Brenda Naranjo, ECE Specialist. Prior prelicensing inspection was conducted on August 9, 2022.

During previous inspection, the following items needed to be corrected. Today's inspection is to verify the corrections required were completed.


1) The cushioning of rubber pour is missing in two areas: a small area by the steps and a large area at the end of the slide. LPA received a copy of invoice of licensee ordering a fast patch poured in place surfacing repair it fix rubber play ground. This is arriving next week and the two areas that are missing the rubber pour will be filled. This


2) The age appropriate sticker is missing. This has been corrected.
3) There is long bolts in the chain link fencing that needs to be shaved down to 3 to 4 threads. This has been corrected.

Pending a final file review, a recommendation will be made to license the above facility for the requested capacity of 24 preschool children.

Exit interview conducted and report was reviewed with Brenda Naranjo.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.


THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 08/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/11/2022
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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