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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
203907332
Report Date:
05/15/2019
Date Signed:
05/15/2019 03:04:48 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:
SARACINO, MARTA FAMILY CHILD CARE
FACILITY NUMBER:
203907332
ADMINISTRATOR:
SARACINO, MARTA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(559) 474-8792
CITY:
MADERA
STATE:
CA
ZIP CODE:
93637
CAPACITY:
14
CENSUS:
DATE:
05/15/2019
TYPE OF VISIT:
Case Management - Other
UNANNOUNCED
TIME BEGAN:
02:45 PM
MET WITH:
Marta Saracino
TIME COMPLETED:
03:10 PM
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LPA conducted an unannounced Case Management inspection for the purpose of correcting language on the Annual /Random report dated 05/15/19. LPA met with Licensee Marta Saracino.
The written language on the report read: All adults who reside or work in the home did not have a criminal record clearance or exemption.
The correct language on the report should have read: All adults who reside or work in the home have a criminal record clearance or exemption.
Licensee verified fingerprint clearances on LIS531. There are no uncleared adults residing or working in the home.
LPA provided a copy of this report to the licensee.
SUPERVISOR'S NAME:
Diana deLeon
TELEPHONE:
(559) 650-7854
LICENSING EVALUATOR NAME:
Angelica Slaughter
TELEPHONE:
(559) 341-3920
LICENSING EVALUATOR SIGNATURE:
DATE:
05/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
05/15/2019
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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