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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153800420
Report Date: 05/05/2022
Date Signed: 05/05/2022 11:03:23 AM

Document Has Been Signed on 05/05/2022 11:03 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:KIM'S DAY CAREFACILITY NUMBER:
153800420
ADMINISTRATOR:DARAMY, KIMBERLEYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 831-9211
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93304
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
05/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kimberley DaramyTIME COMPLETED:
11:15 AM
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On 05/05/2022, Licensing Program Analysts (LPA), Jose Penate conducted an unannounced Case Management inspection today with Licensee, Kimberly Daramy. Licensee stated she has not been watching day-care children since April 20, 2022. Licensee stated she is wanting to place her license on Inactive Status. During today's inspection, licensee filled out inactive form LIC 9211. Licensee has been instructed to follow the conditions listed on the inactive form.

Per California Code of Regulations Title 22, no deficiency cited during today's inspection.

Exit interview conducted with the licensee, Kimberly Daramy. A copy of this report shall be placed in facility file for public review.

To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 05/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/05/2022
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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