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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153902023
Report Date: 04/25/2024
Date Signed: 04/25/2024 10:54:06 AM

Document Has Been Signed on 04/25/2024 10:54 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:VERA, GUADALUPE FAMILY CHILD CAREFACILITY NUMBER:
153902023
ADMINISTRATOR/
DIRECTOR:		VERA, GUADALUPEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 441-9373
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/25/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:05 AM
MET WITH:Guadalupe VeraTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 04/25/2024, Licensing Program Analysts (LPA), Jose Penate conducted an unannounced Case Management inspection today with Licensee, Guadalupe Vera. Licensee stated she has not been watching day-care children since JAN 2016. Licensee stated she is wanting to permanently close and wants to surrender her license. During today's inspection, licensee surrendered her license. Licensee has been instructed on Exempt care and she understood, and she stated she will not care for children from other families.

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

Exit interview conducted with the licensee, Guadalupe Vera.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

To order forms, etc. visit our website at www.ccld.ca.gov

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2024
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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