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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103909288
Report Date: 09/08/2023
Date Signed: 09/08/2023 11:06:10 AM


Document Has Been Signed on 09/08/2023 11:06 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:ANDRACA, JACOBA FAMILY CHILD CAREFACILITY NUMBER:
103909288
ADMINISTRATOR:ANDRACA, JACOBAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 453-1523
CITY:FRESNOSTATE: CAZIP CODE:
93727
CAPACITY:14CENSUS: 3DATE:
09/08/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Jacoba AndracaTIME COMPLETED:
11:10 AM
NARRATIVE
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On 9/08/23, Licensing Program Analysts (LPAs) Julie Baptista and Aurelio Mendoza conducted an unannounced case management inspection to review areas of the family child care home that has been remodeled. During the annual inspection on 2/23/23 it was revealed that licensee was remodeling the kitchen and living room. There was plastic covering the doorway to the area where licensee was watching children. Licensee had notified Fresno Regional Office at the end of May 2023 of completed construction and submitted a new facility sketch. Fresno RO then requested a fire clearance as facility is a large capacity family child care home. Fresno Regional Office received fire clearance approved by Fresno Fire Department on 8/07/2023. During today’s inspection LPAs toured the facility and reviewed the newly remodeled areas. LPA verified with licensee that day care children have access to the family room, bathroom, kitchen and second living room. There is also an outdoor play area on the west side of the house. All other areas of the home are made inaccessible by door knob spinners, gates and door locks, and fences on the outside areas. During today’s inspection licensee provided documentation of the licensed contractor’s information that was used during the remodel.
Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.
Exit interview conducted and report was reviewed with the facility representative Jacoba Andraca.
A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Julie BaptistaTELEPHONE: (559) 767-0213
LICENSING EVALUATOR SIGNATURE:
DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2023
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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