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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103809594
Report Date: 06/17/2019
Date Signed: 06/18/2019 10:59:16 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: 4DATE:
06/17/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Elvia and Salvador PadillaTIME COMPLETED:
11:10 AM
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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 four day care children present today. The purpose of today's inspection was to inspect the outdoor play area under the carport on the north side of the house. Outdoor area was previously off limits to day care children as furniture pieces and a large dumpster full of debris were located in the outdoor play area. Licensee has been taking day care children to nearby park in the interim. LPA observed that outdoor area is free of hazards that may endanger day care children. Safe outdoor toys are in the play area and no bodies of water observed.

Licensee is approved to use the back yard for day care use effective today, 6/17/19.

Licensee indicated that pest control services continue to be provided on a monthly basis and will forward invoices to LPA as proof.

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

An exit interview conducted with licensee Elvia 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: 06/17/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2019
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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