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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 500309662
Report Date: 08/17/2023
Date Signed: 08/17/2023 12:36:43 PM

Document Has Been Signed on 08/17/2023 12:36 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CHILDTIME CHILDREN'S CENTERFACILITY NUMBER:
500309662
ADMINISTRATOR:THOMAS, CAROLFACILITY TYPE:
830
ADDRESS:3912 HONEY CREEKTELEPHONE:
(209) 545-1664
CITY:MODESTOSTATE: CAZIP CODE:
95356
CAPACITY: 35TOTAL ENROLLED CHILDREN: 35CENSUS: 16DATE:
08/17/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Carol ThomasTIME COMPLETED:
03:15 PM
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On 8/17/2023, Licensing Program Analysts (LPAs) Anita Tristan and Erica Pacheco conducted an unannounced Case Management- Incident Inspection. LPAs toured the facility inside and outside and a census was taken.

In regards to incident reported on 7/25/2023, where an altercation took place of two staff members, LPA Anita Tristan interviewed and observed staff, and reviewed facility records.

Based on the interviews conducted, it was found that the incident was a one-time occurrence and the incident was reported and handled properly.

Per California Code of Regulations, Title 22, Division 12, Chapter 1 no deficiency cited during today’s visit.

Exit interview conducted with the Director, Carol Thomas.

A Notice of Site Visit will remain posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2023
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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