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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163908894
Report Date: 06/28/2023
Date Signed: 06/28/2023 01:24:05 PM


Document Has Been Signed on 06/28/2023 01:24 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:RODAS, MARIA FAMILY CHILD CAREFACILITY NUMBER:
163908894
ADMINISTRATOR:RODAS, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 904-4640
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY:14CENSUS: 6DATE:
06/28/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Maria RodasTIME COMPLETED:
01:40 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 06/28/2023 Licensing Program Analyst (LPA) Adrian Pizano, conducted an unannounced Annual Required Inspection and was met by Licensee, Maria Rodas. Days and hours of operation are Monday through Sunday twenty three hours a day.

The reason for todays visit was to inspect the outdoor play structure that is located on the south side of the fenced back yard. The play structure is securely anchored to the ground and is age appropriate 3-10 years old. LPA Pizano advised licensee that only children in the specific age range should be playing on the structure. LPA Pizano advised that if a child outside of that age range plays structure and gets hurt licensee will be responsible.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with the licensee Maria Rodas.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Adrian PizanoTELEPHONE: (559) 977-8435
LICENSING EVALUATOR SIGNATURE:
DATE: 06/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/28/2023
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