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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153909095
Report Date: 06/18/2019
Date Signed: 06/18/2019 02:07:25 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:HERNANDEZ, NOEMI FAMILY CHILD CAREFACILITY NUMBER:
153909095
ADMINISTRATOR:HERNANDEZ, NOEMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 348-2357
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:14CENSUS: 6DATE:
06/18/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Noemi Hernandez, LicenseeTIME COMPLETED:
02:15 PM
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LPA Pete Espinoza conducted an unannounced Case Management inspection regarding upcoming maintenance repairs to the home. Licensee stated she the maintenance repairs to the home include, but is not limited to: replacement of the roof, replacement of AC unit, raise ceiling in kitchen/dining room and install several windows in the living room. Licensee stated work will be done during the early morning (5:00 AM - 9:00 AM) or late afternoon (12:00 PM - dusk) hours. Licensee stated she operates her day-care Mon - Fri 8:00 AM - 5:00 PM.

Licensee also stated she is in review process with County Building Department regarding the permit required for the entire project. Timeline for replacement of AC unit is determined on the approval of the permit. Licensee stated she will find out today the status of the permit approval and inform LPA of a more definitive timeline for installation of the new AC unit.

Licensee stated she will make arrangements to take children to an outside activity (movie/park/etc.) during the time when AC unit is non-operational and when work is being done inside the home.

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: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Peter EspinozaTELEPHONE: 661-644-8231
LICENSING EVALUATOR SIGNATURE:

DATE: 06/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/18/2019
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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