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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503809001
Report Date: 08/21/2023
Date Signed: 08/21/2023 01:46:58 PM

Document Has Been Signed on 08/21/2023 01:46 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:KIDZ CHILDCARE & PRESCHOOLFACILITY NUMBER:
503809001
ADMINISTRATOR:CABRERA, BRENDAFACILITY TYPE:
850
ADDRESS:2445 E WHITMORE AVE STE 130TELEPHONE:
(209) 538-3911
CITY:CERESSTATE: CAZIP CODE:
95307
CAPACITY: 63TOTAL ENROLLED CHILDREN: 63CENSUS: 18DATE:
08/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Nou Xiong - Site SupervisorTIME COMPLETED:
02:00 PM
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On 8/21/23 Licensing Program Analyst (LPA) Joseph Pacheco conducted an unannounced case management inspection. LPA met with Site Supervisor, Nou Xiong, toured the inside of the facility and conducted a census. LPA explained to Site Supervisor that the purpose of today's inspection was to gather information and observe portable toilets the facility utilizes for its toddler option component. Facility is currently licensed for 45 preschool children and 18 toddler option children. LPA observed a total of three toilets, three portable toilets and five sinks/hand washing fixtures in the facility

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 the Site Supervisor, Nou Xiong.

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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2023
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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