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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153909095
Report Date: 01/08/2020
Date Signed: 01/08/2020 09:44:48 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:HERNANDEZ, NOEMI FAMILY CHILD CAREFACILITY NUMBER:
153909095
ADMINISTRATOR:HERNANDEZ, NOEMIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 348-2357
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93306
CAPACITY:14CENSUS: 4DATE:
01/08/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Noemi Hernandez, LicenseeTIME COMPLETED:
10:00 AM
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LPA Pete Espinoza conducted an unannounced Case Management inspection to follow-up on proposed renovations/alterations to the home. Licensee provided copies of building permit issued by Kern County Building Department indicating "Job Complete" and updated Facility Sketch. LPA observed newly installed solid-glass windows in play room that looks onto pool area. LPA observed that windows do not open. Fresno Regional Office received fire clearance approved by Kern County Fire Department, for use of room addition in day-care on 01/03/.2020.

LPA Espinoza inspected the room addition and has determined it is safe for day-care children to use and may be used immediately. The areas of the home that day-care children will now have access to are the Family Room, Dining, Kitchen, Living Room, Bedroom 1, Hall Bath and Day-care Room.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiencies were found during today's inspection.

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: 01/08/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2020
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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