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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153803163
Report Date: 10/22/2019
Date Signed: 10/22/2019 01:57:25 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:NATALIE GARCIA DAY CAREFACILITY NUMBER:
153803163
ADMINISTRATOR:GARCIA, NATALIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 758-5826
CITY:WASCOSTATE: CAZIP CODE:
93280
CAPACITY:14CENSUS: 0DATE:
10/22/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Natalie Garcia TIME COMPLETED:
02:30 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) Rene Mancinas JR, conducted an unannounced case management inspection. The purpose of today’s inspection was to follow up on the status of license. LPA met with Licensee, Natalie Garcia. There were no day care children present during today’s inspection and licensee stated she has not cared for children for a while. Licensee requested to be placed on Inactive status. LPA had licensee complete the LIC 9211 ‘Request for Inactive Child Care License.’ Licensee is active on her annual fees and is requesting to be placed on inactive status until 01/01/2020.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which provides access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, and Licensing Forms and Regulations.

Per California Code of Regulations Title 22 Division 12 Chapter 3, no deficiency is being cited today. Notice of Site Inspection to be posted for 30 days.

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Rene MancinasTELEPHONE: (559) 341-4524
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2019
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