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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243808294
Report Date: 08/14/2020
Date Signed: 08/24/2020 01:36:36 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:OUR LADY OF FATIMA PRE-KFACILITY NUMBER:
243808294
ADMINISTRATOR:JEAN, BRITTANYFACILITY TYPE:
850
ADDRESS:1625 CENTER AVENUETELEPHONE:
(209) 826-2709
CITY:LOS BANOSSTATE: CAZIP CODE:
93635
CAPACITY:42CENSUS: 0DATE:
08/14/2020
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Araceli VerduzcoTIME COMPLETED:
04:00 PM
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On 08/14/2020 Licensing Program Analyst (LPA), Robert Gutierrez, conducted an announced tele inspection with Director Araceli Verduzco. Due to COVID -19 this inspection had to be conducted via FaceTime. Licensee is requesting to make the multi-purpose room accessible to children in care. With the current COVID - 19 pandemic, the licensee is wanting more space to limit child interaction. A fire clearance was granted by the local fire department and a facility sketch was received by the Fresno Regional Office (FRO). LPA inspected the multi purpose room and did not see any hazards that present a danger to children in care. Licensee can now utilize the multi purpose room for childcare.

LIC 9213 Notice of Site Visit was emailed to licensee and is required to be posted for 30 days.

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Robert GutierrezTELEPHONE: 559-243-4588
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2020
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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