<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103900418
Report Date: 06/07/2019
Date Signed: 06/07/2019 08:42:16 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:LOPEZ,CYNTHIAFACILITY NUMBER:
103900418
ADMINISTRATOR:LOPEZ,CYNTHIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 369-4859
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:14CENSUS: 5DATE:
06/07/2019
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Cynthia LopezTIME COMPLETED:
09:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPAs) Robert Gutierrez & Jose Penate conducted an unannounced POC inspection. LPAs met with Licensee Cynthia Lopez. The purpose of todays inspection was to inspect the pool fence. Currently there are no windows or doors that have direct access to the swimming pool. Two pool gate entrances swing away from the pool. The pool gates are self latching and self closing. The latch that closes the pool gate is higher than 54 inches. The panel located directly in front of the licensees master bedroom is less than 4 inches. Currently the pool fence is in compliance with Title 22 regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert GutierrezTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 06/07/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/07/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1