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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500309413
Report Date: 06/11/2024
Date Signed: 06/11/2024 10:47:52 AM

Document Has Been Signed on 06/11/2024 10:47 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
500309413
ADMINISTRATOR/
DIRECTOR:
THOMAS, CAROLFACILITY TYPE:
850
ADDRESS:3912 HONEY CREEKTELEPHONE:
(209) 545-1664
CITY:MODESTOSTATE: CAZIP CODE:
95356
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 74DATE:
06/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Carol ThomasTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 06/11/2024, Licensing Program Analyst (LPA) Anita Tristan arrived at the facility to conduct an unannounced Case Management Inspection. LPA met with Director, Carol Thomas and the District Manager. LPA toured the facility, and a census was taken. The purpose of today's inspection was to view video footage of the incident that took place on 05/13/2024.

During today’s visit LPA observed classrooms, playground, and reviewed documentation.

Exit interview conducted and report was reviewed with Director, Carol Thomas. Appeal rights were provided and discussed.

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


A Notice of Site Visit was provided and will be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 06/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/11/2024
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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