Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503909382
Report Date: 11/05/2015
Date Signed 11/05/2015 12:55:18 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 E.SHAW AV,STE 300-MS 29-01
FRESNO, CA 93710
FACILITY NAME:HINTON, VERA FAMILY CHILD CAREFACILITY NUMBER:
503909382
ADMINISTRATOR:HINTON, VERAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 284-7440
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:14CENSUS: 6DATE:
11/05/2015
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Vera HintonTIME COMPLETED:
02:00 PM
NARRATIVE
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Licensing Program Analyst Rusty Wilson conducted a case management visit for a post licensing. Met with Licensee Vera Hinton and toured facility. Six day care children present at the time of visit. No bodies of water or pets observed. Smoke detector and carbon monoxide detectors are in place. Licensee has fire extinguisher that meets requirements. A clean and safe home is observed today. Licensee has information to contact parents in case of emergency. Licensee has License and other necessary postings in place. Licensee has no weapons in the home. All personnel that live in the home or provide supervision to children have necessary fingerprint clearances. Licensee has records of fire drills conducted every six months. All poisons are locked up. All medications and cleaning supplies that could pose a hazard to children are kept inaccessible.

Exit interview conducted with Licensee Vera Hinton.

No deficiencies cited this visit.
SUPERVISOR'S NAME: Valarie ReedTELEPHONE: (559) 243-8093
LICENSING EVALUATOR NAME: Rusty WilsonTELEPHONE: (559) 341-4725
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2015
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2015
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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