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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153807079
Report Date: 03/11/2021
Date Signed: 03/11/2021 04:02:41 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:QUINTERO, OFELIA FAMILY CHILD CAREFACILITY NUMBER:
153807079
ADMINISTRATOR:QUINTERO, OFELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 725-2336
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY:14CENSUS: 14DATE:
03/11/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Ofelia Quintero, LicenseeTIME COMPLETED:
03:00 PM
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On 03/11/2021 Licensing Program Analyst, Pete Espinoza (LPA) conducted a televisit via telephone due to COVID-19 related matters and as a means of precaution. LPA spoke with Ofelia Quintero, Licensee. Purpose of visit was to discuss incident dated 11/30/2020 regarding the death of a child in the facility. LPA informed Licensee the Investigations Branch concluded the investigation with a finding indicated as Unsubstantiated. LPA Informed Licensee; there is not a preponderance of evidence to prove any violation did or did not occur, as a result of the incident. Licensee stated she understood the outcome of the investigation.

Licensee stated there are 14 children present in the home today along with Assistant (Ubilia Martinez)

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

LPA informed Licensee the Facility Evaluation Report (LIC 809) will be sent to Licensee, via e-mail and Licensee understands that she must send via regular mail, a signed original of this report (LIC 809) to Fresno Regional Office.

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2021
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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