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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153904406
Report Date: 09/12/2019
Date Signed: 09/12/2019 09:32:01 AM

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:PICOS DE GARCIA, MARIA FAMILY CHILD CAREFACILITY NUMBER:
153904406
ADMINISTRATOR:PICOS DE GARCIA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 746-0169
CITY:SHAFTERSTATE: CAZIP CODE:
93263
CAPACITY:14CENSUS: 9DATE:
09/12/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Maria Picos de Garcia, LicenseeTIME COMPLETED:
09:45 AM
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LPA Pete Espinoza conducted Case Management Inspection visit today. LPA met with Maria Picos de Garcia, Licensee. Licensee stated installation of an in-ground pool was completed recently in the back yard. LPA inspected the pool for compliance.

LPA observed in-ground pool in back yard enclosed with pool fencing that does NOT obscure the pool from view. LPA observed fencing that is 5 feet high completely around the pool from concrete wall on east side of back yard to concrete wall on south side of back yard. LPA observed and tested gate that swings away from the pool and self-close/latches.

LPA determined pool is in compliance per Title 22 regulations.

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

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
A Notice of Site Visit was posted on parent board.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
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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