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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103906689
Report Date: 12/06/2022
Date Signed: 12/06/2022 11:29:45 AM


Document Has Been Signed on 12/06/2022 11:29 AM - 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:MITYA, ALLA FAMILY CHILD CAREFACILITY NUMBER:
103906689
ADMINISTRATOR:MITYA, ALLAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 324-1623
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:14CENSUS: 6DATE:
12/06/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Alla MityaTIME COMPLETED:
12:00 PM
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
On 12/6/22 Licensing Program Analyst (LPA) Caroline Harris conducted a Plan of Correction inspection. LPA met with licensee, Alla Mitya and a census was taken. There were six day care children present.

The purpose of the inspection is to clear deficiencies that were previously cited on 8/16/22. The LPA observed the 15 minute checks for the infant in care, along with the Individual Sleep Plan. Children's immunizations were also updated and transcribed. The licensee and her staff also completed the Mandated Reporter training.

During today’s inspection, LPA provided the licensee with a Letter of Deficiency Citations Cleared. An exit interview was conducted with Alla Mitya. Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiency was cited during today’s inspection.

A copy of this report and LIC 9213 Notice of Site Inspection were provided to the licensee, Alla Mitya. This report shall be made available to the public upon request. LIC 9213 Notice of Site Inspection is required to be posted for 30 days.
SUPERVISOR'S NAME: Juvenal MoctezumaTELEPHONE: (559) 650-7869
LICENSING EVALUATOR NAME: Caroline HarrisTELEPHONE: (559) 341-4624
LICENSING EVALUATOR SIGNATURE:
DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/06/2022
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