<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243810158
Report Date: 10/16/2023
Date Signed: 10/16/2023 03:03:22 PM

Document Has Been Signed on 10/16/2023 03:03 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:MERCEY SPRINGS PRESCHOOLFACILITY NUMBER:
243810158
ADMINISTRATOR:ROCHA, JENNIFERFACILITY TYPE:
850
ADDRESS:1900 S MERCEY SPRINGS RDTELEPHONE:
(209) 826-2241
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 17DATE:
10/16/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Jennifer RochaTIME COMPLETED:
03:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 10/16/23 Licensing Program Analyst (LPA) Martha De Haro conducted an unannounced case management inspection. LPA met with Director Jennifer Rocha at the above facility. The purpose of today’s inspection is to check the newly installed play ground structure, which was installed in the back of the facility. The facility was previously approved for a playground waiver, and are currently sharing a different playground with other students from the main school.

During the inspection, LPA toured the facility inside and outside and a census was taken. LPA observed that a new playground structure was installed appropriately and no hazards were observed. There were no loose or pointed parts. The playground structure had rubber material to cushion any falls. Director submitted playground specifications. LPA has deemed the new play structure safe for future use once the temporary fencing around the playground is removed.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.



Exit interview conducted and report was reviewed with Director Jennifer Rocha.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Martha DeHaro
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1