<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910238
Report Date: 11/16/2022
Date Signed: 11/16/2022 11:34:06 AM


Document Has Been Signed on 11/16/2022 11:34 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, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:HARRIS, JENNIFER FAMILY CHILD CAREFACILITY NUMBER:
153910238
ADMINISTRATOR:HARRIS, JENNIFERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 589-8825
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93312
CAPACITY:14CENSUS: 1DATE:
11/16/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Jennifer HarrisTIME COMPLETED:
11:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/16/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted a Case Management inspection and met with licensee Jennifer Harris. Also present was assistant Sharaea Williams.

The purpose of this inspection is to discuss the amendment of licensee's child care contract.
LPA Marquez and licensee discussed revisions to her contract and removing verbiage.

Licensee will make amendments and submit to the Fresno South Licensing office a copy of her revised contract for approval.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies were cited on this report. An exit interview was conducted and this report was reviewed with the licensee Jennifer Harris A copy of this report, the Appeal Rights and the Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/16/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1