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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503808988
Report Date: 05/25/2023
Date Signed: 05/25/2023 12:17:58 PM

Document Has Been Signed on 05/25/2023 12:17 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:HAZEL'S CHRISTIAN PRESCHOOL&CHILD CARE CENTER IIFACILITY NUMBER:
503808988
ADMINISTRATOR:DOMSON, HAZELFACILITY TYPE:
850
ADDRESS:1528 OAKDALE RDTELEPHONE:
(209) 521-4422
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY: 37TOTAL ENROLLED CHILDREN: 37CENSUS: 17DATE:
05/25/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Brenda SanchezTIME COMPLETED:
12:00 PM
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On 05/25/2023 Licensing Program Analyst (LPA) Julie Baptista conducted an unannounced Case Management visit at facility. LPA was greeted by Director Brenda Sanchez and a census was taken.
LPA toured the four preschool classrooms and the outdoor play area. The wooden doors on all the classrooms are light weight and when opened remain in place where they are placed. The wooden doors do not have springs or other self-closing equipment. LPA tested several doors and observed that the wooden door would remain open and were easy to move. There is toilet facilities in the preschool classroom which the small classrooms utilize. The preschool has exclusive use of the men's restroom in the church office approved during pre-licensing. The large preschool classroom does use the men's restroom in the main church office. The preschool staff escort the children to and from this restroom. The door leading into the church office is kept locked and staff have a key to unlock this door when guiding children to the restroom. This door is glass with a metal frame and is a double door with the right side kept locked. The door can be pushed open easily and left open using a stopper that is latched to the ground. When the door is opened and not propped on the stopper it will self close. LPA observed glass door will close properly on its own. The protocol per Director is for staff to unlock the door, guide the children to the restroom and remain with them until they are guided out the office door and back to the preschool area.

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

LIC 9213 Notice of Site Visit to be posted on the parent board for 30 days
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Julie Baptista
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2023
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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