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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153809512
Report Date: 02/14/2023
Date Signed: 02/14/2023 02:09:08 PM


Document Has Been Signed on 02/14/2023 02:09 PM - 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:ALCALA, CONSUELO FAMILY CHILD CAREFACILITY NUMBER:
153809512
ADMINISTRATOR:ALCALA, CONSUELOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 835-1012
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY:14CENSUS: 4DATE:
02/14/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Consuelo Alcala - Licensee TIME COMPLETED:
02:25 PM
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On 2/14/2023, an unannounced Case Management - Plan of Correction (POC) Inspection was conducted by Licensing Program Analyst (LPA) Jessika Thompson. LPA met with Licensee Consuelo Alcala to discuss the POC associated to the deficiency cited on 12/15/2022. Today, the licensee provided LPA with proof that she completed Child Abuse Mandated Reporter Training on 12/20/22. Additionally, Staff #2 completed Child Abuse Mandated Reporter Training on 12/28/2022. Licensee provided LPA with proof that she attempted to submit the information on the POC due date of 12/29/2022; however; LPA discovered that the licensee submitted the information to an incorrect number and email address.

LPA ensured that the licensee has the correct contact information for the Department today. LPA provided the licensee with a "Letter of Deficiency Citations Cleared." Letter must be filed in facility for three years and upon request made accessible to the public for review.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: (559) 341-4622
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023
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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