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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203808112
Report Date: 04/14/2022
Date Signed: 04/14/2022 09:28:16 AM

Document Has Been Signed on 04/14/2022 09:28 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:LOS NINOS HEAD START CENTERFACILITY NUMBER:
203808112
ADMINISTRATOR:OLGA SILVA SANTOFACILITY TYPE:
850
ADDRESS:29171 DESHATELEPHONE:
(559) 662-1788
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY: 28TOTAL ENROLLED CHILDREN: 28CENSUS: 14DATE:
04/14/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gabriela GutierrezTIME COMPLETED:
09:45 AM
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On April 14, 2022, Licensing Program Analyst (LPA) Brannon and Licensing Program Manager (LPM) Juvenal Moctezuma, conducted an announced Case Management Inspection for the preschool program license. LPA met with Site Supervisor, Gabriela Gutierrez, and toured the facility indoors and outdoors. Days and hours of operation are Monday through Friday, 6 AM to 4 PM.

Licensee, Community Action Partnership of Madera County, installed new climbing structure in the preschool play yard. LPA received a copy of manufacturing specifications for the climbing structure. LPA observed that there is an age appropriate sticker and an installed sign reflecting that the climbing structure is safe for children 2 to 5 years old.

Per California Code of Regulations Title 22, Division 12, no deficiency cited during today's inspection.. Exit interview conducted with Site Supervisor, Gabriela Gutierrez. A copy of this report needs to be placed in facility file for public review. A Notice of Site Visit was posted on parent board for 30 days.



To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Michael Duarte
LICENSING EVALUATOR NAME: Cynthia Brannon
LICENSING EVALUATOR SIGNATURE: DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2022
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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