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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243909276
Report Date: 03/18/2021
Date Signed: 03/18/2021 10:00:24 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:MARQUEZ, ISABEL FAMILY CHILD CAREFACILITY NUMBER:
243909276
ADMINISTRATOR:MARQUEZ, ISABELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 384-3050
CITY:MERCEDSTATE: CAZIP CODE:
95340
CAPACITY:14CENSUS: 1DATE:
03/18/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Isabel Marquez - LicenseeTIME COMPLETED:
10:15 AM
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On 3/18/2021, Licensing Program Analysts (LPAs) Joseph Pacheco and LPA Jeovanna Yanez conducted an unannounced case management inspection. This home is dual licensed as a Family Child Care Home and a Children's Residential Home. LPAs met with Spanish speaking Licensee, Isabel Marquez in response to a complaint investigation conducted by Community Care Licensing Children's Residential Branch. LPA Yanez provided translation during today's inspection. LPAs discussed the purpose of the inspection with Licensee, toured the facility and obtained a census. Also present was Licensee's Assistant. Daycare Children present during today's inspection were too young to be interviewed. Licensee provided LPAs with a copy of the LIC9040 Children's Roster.

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

This report shall be made available to the public upon request. 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: 03/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2021
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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