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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547206950
Report Date: 04/13/2022
Date Signed: 04/14/2022 10:29:52 AM

Document Has Been Signed on 04/14/2022 10:29 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
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:CDL EXETER CENTER FOR DISCOVERY AND LEARNINGFACILITY NUMBER:
547206950
ADMINISTRATOR:CASERZA, DIANEFACILITY TYPE:
775
ADDRESS:508 N KAWEAH AVETELEPHONE:
(559) 594-4646
CITY:EXETERSTATE: CAZIP CODE:
93221
CAPACITY: 45CENSUS: 30DATE:
04/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Diane Caserza-Owner/AdministratorTIME COMPLETED:
12:40 PM
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On 3/6/2020, Licensing Program Analyst(LPA) D. Ayers arrived at the facility unannounced to conduct a Require Annual inspection. LPA met with Owner/Administrator Diane Caserza and announced the purpose of the inspection.

LPA toured the facility inside and outside. All passageways and exits were clear and free from obstruction. Smoke and carbon monoxide detectors were present and functional. Fire extinguisher was present and serviced. LPA observed various activity rooms and spaces utilized for small-group programs to be clean and hazard free. The facility was well lit and at a comfortable temperature. Cleaning supplies and chemicals were secured in a locked closet. Adequate Personal Protective Equipment was observed to be properly stored. LPA observed adequate storage space for clients' personal items. Client bathrooms were clean and odor-free and all fixtures were functioning properly. Facility transportation vehicles for Client transportation were regularly serviced and service records maintained.

No deficiencies were cited during the inspection. A copy of the report was provided to the Licensee via email.
SUPERVISORS NAME: Andy Xiong
LICENSING EVALUATOR NAME: David Ayers
LICENSING EVALUATOR SIGNATURE: DATE: 04/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/13/2022
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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