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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103910705
Report Date: 06/21/2019
Date Signed: 06/24/2019 02:17:27 PM

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:REYNOSA CASILLAS, JANETH FAMILY CHILD CAREFACILITY NUMBER:
103910705
ADMINISTRATOR:REYNOSA CASILLAS, JANETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 590-5975
CITY:ORANGE COVESTATE: CAZIP CODE:
93646
CAPACITY:14CENSUS: 6DATE:
06/21/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Janeth Reynosa CasillasTIME COMPLETED:
02:15 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
Licensing Program Analyst (LPA) Diana Martinez conducted an unannounced case management post-licensing inspection. LPA was met by licensee Janeth Reynosa Casillas. Also present was licensee's daughter/assistant Paola Reynosa and six day care children. The purpose of this case management inspection is for assigned LPA Martinez to introduce herself and address any of licensee’s questions. Licensee informed LPA that she has a total of 13 children enrolled.

LPA reviewed and provided information to licensee regarding safe sleep and the need to review PINs on a regular basis.

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

An exit interview conducted with licensee Janeth Reynosa Casillas 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: 06/21/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2019
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