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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808245
Report Date: 10/16/2024
Date Signed: 10/16/2024 01:14:16 PM

Document Has Been Signed on 10/16/2024 01:14 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:SCHELBY HEAD START/MERCED CO. OFFICE OF EDUCATIONFACILITY NUMBER:
243808245
ADMINISTRATOR/
DIRECTOR:		BATTHER, TIRITHFACILITY TYPE:
850
ADDRESS:6738 NORTH SULTANA DRIVETELEPHONE:
(209) 394-1821
CITY:LIVINGSTONSTATE: CAZIP CODE:
95334
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 33DATE:
10/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Maria Teresa Aguilar, Site SupervisorTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 10/16/2024, Licensing Program Analyst (LPA) Priscilla Zamudio conducted an unannounced case management inspection at the facility. LPA met with Site Supervisor Maria Teresa Aguilar to discuss an Exclusion Decision and Order Issued by the Department regarding Adult #1. LPA toured the facility and took a census.

Site Supervisor indicated Adult #1 has never been employed with this facility. After further discussion with human resources department, LPA was informed that Adult#1 was a student worker in a different program and never worked in any licensed facility associated to this license number. Based on evidence obtained during today’s visit, LPA has verified Adult#1 is not present or employed at the facility. Verification of exclusion is complete.

Per California Code of Regulations, Title 22, Division 12, no deficiencies are cited.

LIC 9213 Notice of Site Visit form is required to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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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