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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103809594
Report Date: 04/26/2019
Date Signed: 04/29/2019 09:33:54 AM

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:PADILLA, ELVIA & SALVADOR FAMILY CHILD CAREFACILITY NUMBER:
103809594
ADMINISTRATOR:PADILLA, ELVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 480-9976
CITY:PARLIERSTATE: CAZIP CODE:
93648
CAPACITY:14CENSUS: 2DATE:
04/26/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Elvia and Salvador PadillaTIME COMPLETED:
02:00 PM
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LPA Diana Martinez conducted an unannounced case management inspection today and was met by licensees Elvia and Salvador Padilla. There were two day care children present today. The purpose of today's inspection was to inspect the outdoor play area under carport on the north side of the house. Licensees' assistant forwarded photos to LPA on April 12, 2019, as proof that furniture pieces had been removed and outdoor space was ready for use. Upon entering property, however, LPA noticed a large dumpster full of debris on the north side of the front yard next to outdoor play area. Licensee Salvador indicated that the outdoor play area is off limits once again as he is cleaning out the backyard and was able to use the dumpster for free. He anticipates finishing the backyard clean-up and returning the dumpster in one week so the outdoor space will be accessible to daycare children. Licensees will contact LPA when outdoor space is ready for re-inspection.

LPA and licensees discussed safe sleep and pest control services that will be provided monthly. LPA verified mandated reporter certificates.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies cited during today's visit.

An exit interview conducted with licensee Salvador Padilla and a copy of this report was provided and discussed. A Notice of Site Visit Form (LIC 9213) was posted on parent's board and must remain posted for 30 days.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Diana D MartinezTELEPHONE: (559) 341-4670
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2019
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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