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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203810195
Report Date: 11/29/2022
Date Signed: 11/29/2022 11:42:20 AM

Document Has Been Signed on 11/29/2022 11:42 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:KIDZ CAN 2 OAKHURSTFACILITY NUMBER:
203810195
ADMINISTRATOR:ALEJANDREZ, NANCYFACILITY TYPE:
840
ADDRESS:40088 INDIAN SPRINGS RDTELEPHONE:
(559) 683-7654
CITY:OAKHURSTSTATE: CAZIP CODE:
93644
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
11/29/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Nancy AlejandrezTIME COMPLETED:
12:30 PM
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On November 29, 2022, Licensing Program Analyst (LPA) C Brannon met with applicant, Nancy Alejandrez. During today's inspection, LPA toured facility and took a census.

Prior pre-licensing inspection was conducted on November 14, 2022. The items listed for classrooms to be corrected has been corrected. LPA received an exception request for Staff 1 to be the director. Items listed to be corrected for the outside play area has been corrected.

This facility has drinking water delivered to the facility. Applicant has a contract with Primo Water/Sparkletts. There are no drinking water faucets in the classroom and in the outside play yard. There is one kitchen faucet that is used for washing dishes. During today's inspection, reviewed lead testing as per AB 2370 and PIN 21-21-CCP. Applicant will schedule to have kitchen faucet tested for lead as required. LPA reviewed forms and facility sketch requirements. Lead testing is required to be completed before or by 1/1/2023.

Pending a final file review, a recommendation will be made to license the above facility for the requested capacity of 24 school age children.

During today's inspection, applicant provided an updated application to include combination center.

Exit interview conducted and report was reviewed with applicant, Nancy Alejandrez.

A COPY OF THIS REPORT IS TO REMAIN IN THE FACILITY FOR PUBLIC REVIEW.


THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
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: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2022
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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