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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203803451
Report Date: 08/06/2021
Date Signed: 08/06/2021 01:28:33 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:LANDEROS FAMILY CHILD CAREFACILITY NUMBER:
203803451
ADMINISTRATOR:LANDEROS, LUCYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 675-0954
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:14CENSUS: 2DATE:
08/06/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Lucy LanderosTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Brannon conducted a case management inspection . LPA met with licensee, Lucy Landeros. During today's visit, LPA interviewed children # 1 and # 2, took a census, interviewed licensee and licensee's minor son.

This visit is due to licensee calling in an incident report dated 6/24/21. Madera Police Department and Child Protective Service came out to conduct an investigation in regards to an incident of inappropriate action between children. Licensee did call the incident to Licensing and mailed in an unusual incident report. LPA did not receive the unusual incident report and requested licensee to provide a copy. LPA received a copy of child roster.

Interviews reflect that licensee's minor son does provide supervision as needed for short period of time, does not interact with the children in care, eats in his bedroom and comes out to use the computer. Licensee stated that Madera Police Department and Child Protective Service has not followed up with their initial visit. Licensee is aware to notify Licensing of future interactions with Madera Police Department and/or Child Protective Service.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiency was cited. Licensee was provided a copy of appeal rights.

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.

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Cynthia BrannonTELEPHONE: (559) 388-3635
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2021
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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