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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163903011
Report Date: 06/15/2022
Date Signed: 06/15/2022 03:45:23 PM


Document Has Been Signed on 06/15/2022 03:45 PM - 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:GOVEA, VENUS FAMILY CHILD CAREFACILITY NUMBER:
163903011
ADMINISTRATOR:GOVEA, VENUSFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 212-4755
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:14CENSUS: 4DATE:
06/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Venus GoveaTIME COMPLETED:
02:50 PM
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 6/15/22, Licensing Program Analyst (LPA) Kathy Pacheco conducted an unannounced case management inspection with Licensee Venus Govea to discuss Community Care Licensing (CCL) regulations. LPA discussed the importance of Licensee informing CCL of any positive Covid-19 cases in her home and/or day care in a timely manner. LPA and Licensee also discussed the personal rights of day care children enrolled and attending the day care.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations no deficiencies were observed today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee Venus Govea.

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559) 650-7855
LICENSING EVALUATOR NAME: Kathy PachecoTELEPHONE: (559) 341-5116
LICENSING EVALUATOR SIGNATURE:
DATE: 06/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/15/2022
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