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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547206950
Report Date: 02/17/2023
Date Signed: 04/11/2023 03:06:44 PM

Document Has Been Signed on 04/11/2023 03:06 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, 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: 38DATE:
02/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Administrator, Diane CaserzaTIME COMPLETED:
10:24 AM
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On 02/17/2023, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection-infection control. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Diane Caserza.

LPA conducted a facility tour with Administrator. The facility appeared clean with no fire clearance issues. Signs have been posted throughout the facility to promote hand-washing, cough/sneeze etiquette, and physical distancing. Hand sanitizer was readily available to clients, staff and visitors. Hand-washing posters were observed by the bathroom sinks. Bathrooms were stocked with paper towels and liquid soap.

LPA observed an adequate supply of PPE and clients bring their own meals and medications. Staff were observed to be wearing facial coverings. Client records did have updated emergency contact information.

No deficiencies issued during today's inspection.

Exit interview conducted. A copy of this report was discussed and provided to Administrator, Diane Caserza, whose signature on this form confirms receipt of this document.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE: DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/17/2023
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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