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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203804609
Report Date: 11/16/2020
Date Signed: 11/16/2020 10:42:09 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:COSIO FAMILY CHILD CAREFACILITY NUMBER:
203804609
ADMINISTRATOR:COSIO, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 673-1453
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY:14CENSUS: 4DATE:
11/16/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maria CosioTIME COMPLETED:
10:55 AM
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On 11/16/2020, Licensing Program Analyst (LPA) Juvenal Moctezuma conducted an unannounced Case Management - Other inspection and met with licensee, Maria Cosio and husband. LPA explained the reason of the inspection and a tour of the home was conducted.

The Fresno Regional Office received a report stating that on October 30th at approximately 11:00 PM, there was a drive-by shooting outside the licensees home. While bullets did rebound off the outside structure of the home and even entered the home, no one in the home was harmed during the incident. Licensee stated that she had no day-care children at the time of the incident and stated that she did not know she needed to report to licensing. Licensee stated that instead, she called the Madera Police Department. LPA explained to licensee the reporting requirements and explained that even though she doesn't have children, she needs to report them to Child Care Licensing. Licensee stated she understood. LPA toured the home and observed licensee caring for 4 children today and explained that she needs to keep her house clean and free of toxins at all times since LPA observed the house to be cluttered with food items, clothes, and furniture. Licensee understood.

During todays inspection, No deficiencies were cited.

This report was translated in Spanish by LPA Moctezuma

Licensee was reminded that it is her responsibility to know the regulations for Family Child Care Home which can be accessed on-line at www.ccld.ca.gov.

LPA observed licensee post the Notice of Site visit.

FAILURE TO POST THE NOTICE OF SITE VISIT FOR 30 DAYS MAY RESULT IN A $100.00 CIVIL PENALTY.

SUPERVISOR'S NAME: Michael DuarteTELEPHONE: (559) 650-7874
LICENSING EVALUATOR NAME: Juvenal MoctezumaTELEPHONE: (559) 580-0275
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2020
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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