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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103901887
Report Date: 01/04/2022
Date Signed: 01/04/2022 11:27:11 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:NGUYEN, TRAM FAMILY CHILD CARE HOMEFACILITY NUMBER:
103901887
ADMINISTRATOR:NGUYEN, TRAMFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 435-5320
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:14CENSUS: 8DATE:
01/04/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Tram NguyenTIME COMPLETED:
11:45 AM
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On January 4, 2022, Licensing Program Analyst (LPA) met with licensee, Tram Nguyen. During today's inspection, LPA toured facility, inside and outside. A census was taken. LPA observed 8 children. Licensee and assistant were providing supervision during today's inspection.

During the previous annual inspection, conducted on 12/15/21, LPA cited licensee. During the inspection dated 12/15/21, licensee was cited four Type B deficiencies. The purpose of today's inspection was to review the deficiencies' corrections. LPA verified that licensee corrected the deficiencies.

LPA reviewed with licensee, Title 22, Section 102425 Infant Safe Sleep. LPA provided a copy for licensee to review and to ensure she is incompliance with Infant Safe Sleep Family Child Care regulations.

During today's inspection, LPA provided Letter of Deficiency Citations Cleared letters to licensee.

Exit interview conducted and report was reviewed with the licensee, Tram Nguyen.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2022
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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