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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203902366
Report Date: 04/20/2022
Date Signed: 04/20/2022 03:08:47 PM


Document Has Been Signed on 04/20/2022 03:08 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:MUNOZ, CLAUDIA FAMILY CHILD CAREFACILITY NUMBER:
203902366
ADMINISTRATOR:MUNOZ, CLAUDIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 481-0434
CITY:MADERASTATE: CAZIP CODE:
93637
CAPACITY:14CENSUS: 0DATE:
04/20/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Claudia MunozTIME COMPLETED:
03:15 PM
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On 04/20/22, Licensing Program Analyst (LPA) Angelica Slaughter conducted an unannounced plan of correction inspection at the facility. LPA met with Licensee, Claudia Munoz, to verify a plan of correction for the deficiencies that were cited on 03/23/22. LPA conducted a visual inspection of the facility. There were no cleaning or chemical compounds located in the cabinet under the kitchen sink as previously observed. LPA observed two new fire extinguishers that met regulation standards. Also, the home no longer smelled of pet urine and the previously inspected floors/areas were clean. Licensee also stated that all technical violations previously issued by LPA were reviewed and corrected. Licensee provided LPA with proof of viewing two Community Care Licensing videos, one on Locks and Inaccessibility Requirements in Child Care and one on Record Keeping in Family Child Care as recommended by LPA.

Based on observations made by LPA of the facility and review of documents provided by Licensee, LPA determined the Licensee corrected the deficiencies.

Per California Code of Regulations, Title 22, Division 12, no deficiencies cited during today's inspection.

Exit interview conducted with Licensee. Licensee provided with a copy of the Facility Evaluation Report, the LIC 9213 Notice of Site Visit, and the Letter of Deficiency Citations Cleared. The Facility Evaluation Report is required to remain in the facility for public review and the LIC 9213 is required to be posted for 30 days.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Angelica SlaughterTELEPHONE: (559) 341-3920
LICENSING EVALUATOR SIGNATURE:
DATE: 04/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/20/2022
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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