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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103808816
Report Date: 08/30/2023
Date Signed: 08/30/2023 03:49:07 PM


Document Has Been Signed on 08/30/2023 03:49 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:JULIA A. LOPEZ CHILD DEVELOPMENT CENTERFACILITY NUMBER:
103808816
ADMINISTRATOR:STEWART, SHEILAFACILITY TYPE:
850
ADDRESS:1300 SOUTH AVENUETELEPHONE:
(559) 626-6466
CITY:ORANGE COVESTATE: CAZIP CODE:
93646
CAPACITY:145CENSUS: 62DATE:
08/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Martha JimenezTIME COMPLETED:
02:30 PM
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On August 30, 2023 Licensing Program Analysts (LPA) Paul Garcia conducted an unannounced case management visit and met with site Director Martha Jimenez. A tour of the facility was given, and a census was taken. The purpose of the visit was explained to Licensee.

LPA explained the purpose of the visit was to ensure that deficiencies from May 30, 2023 were corrected.
Per inspection completed by Paul Garcia and Nancy Her on May 30, 2023, LPA’s observed the following violations.

· LPAs observed the outdoor play area shed to have planks that were deteriorated and/or possessed sharp
edges.

· LPAs observed staff members doing classroom work during nap time.

LPA completed a comprehensive visual observation of all napping areas and observed allstaff members actively providing direct constant visual and auditory supervision of sleeping children in care.

LPA was informed by director Martha Jimenez that the shed was removed from the outdoor play area. LPA completed a full visual observation and verified that the outdoor play area shed was removed and no longer posses a potential risk to children in care.

Capacity and limitations as specified on the license are being maintained. LPA observed and confirmed all children are under supervision, including visual supervision, of a teacher at all times. Facility maintains a ratio of one teacher supervising no more than 12 children in care. LPA observed new play equipment and ensured that the play structure was anchored to the ground and verified other child equipment was staged for future use. Please See 809-C

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Paul GarciaTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: JULIA A. LOPEZ CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 103808816
VISIT DATE: 08/30/2023
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LPA provided Licensee Director Martha Jimenez with technical assistance of the CCLD website and the training's that are available to her and her team.

Per Title 22 Division 12 Chapter 3 of the California Code of Regulations no deficiency's are being cited today.

Report was read and exit interview was conducted with Director Martha Jimenez. Notice of Site was provided and must be posted for thirty days.

Appeal rights were discussed and issued.

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Paul GarciaTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:

DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023
LIC809 (FAS) - (06/04)
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