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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243804595
Report Date: 05/13/2021
Date Signed: 05/13/2021 01:35:32 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:HAPPY FACE DAY CAREFACILITY NUMBER:
243804595
ADMINISTRATOR:REYES, ROSALINDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 316-7631
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:14CENSUS: 1DATE:
05/13/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Rosalinda Reyes - LicenseeTIME COMPLETED:
02:00 PM
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On 5/13/2021 Licensing Program Analyst (LPA), Joseph Pacheco arrived at the family child care home to conduct an unannounced Plan of Correction (POC) Inspection. LPA met with Licensee, Rosalinda Reyes to review the POC associated to deficiencies cited on 4/28/2021: Today, LPA verified the following:

· Licensee has a current Children’s Roster
· All children’s files contain a completed LIC 995A and LIC 627.

LPA cleared deficiencies on this date and provided licensee with a "Letter of Deficiency Citations Cleared." This letter must be filed in the facility for three years and upon request be made accessible to the public for review.

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

LIC 9213 Notice of Site Visit Form is required to be posted for 30 days.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Joseph PachecoTELEPHONE: (559) 341-4457
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021
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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