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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 100406618
Report Date: 09/27/2022
Date Signed: 09/27/2022 02:51:52 PM

Document Has Been Signed on 09/27/2022 02:51 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 CHILDCARE, INC.FACILITY NUMBER:
100406618
ADMINISTRATOR:DIAZ, KRISTINAFACILITY TYPE:
850
ADDRESS:2091 SIERRA AVE.TELEPHONE:
(559) 297-5013
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 65DATE:
09/27/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Kristina Diaz TIME COMPLETED:
03:00 PM
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On this date, 09/27/22 an unannounced Case Management - Plan of Correction (POC) Inspection was conducted by Licensing Program Analyst (LPA) Araceli Gibson. Director, Kristina Diaz had notified LPA of new turf cushioning around the play structure was installed and ready to be cleared. During today’s inspection there was a census of 65 children at the center. LPA met with Kirsten to review the POC associated to the deficiency cited on 06/10/22. LPA Gibson in addition gave an advisory note for unpaid annual fees.
Today, LPA verified the following:

· Installation of new turf serving as cushioning material for surrounding the play structure in the preschool playground. The turf has been installed according to manufacturer’s specifications by Tech One Construction. LPA Gibson observed turf to be spongy around high impact landing area for the play structure.

LPA cleared deficiencies on this date 09/27/22 and provided Licensee with a "Letter of Deficiency Citations Cleared." This letter must be filed in the facility for three years and upon request made accessible to the public for review.

Per California Code of Regulations Title 22, Division 12, Chapter 1 no deficiency cited during today's visit. Exit interview conducted with the Kristina Diaz, Director.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Araceli Gibson
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2022
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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