<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503903875
Report Date: 08/30/2023
Date Signed: 08/30/2023 01:25:31 PM


Document Has Been Signed on 08/30/2023 01:25 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:CRUZ, JOSIE FAMILY CHILD CAREFACILITY NUMBER:
503903875
ADMINISTRATOR:CRUZ, JOSIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 892-5767
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY:14CENSUS: 7DATE:
08/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Josie CruzTIME COMPLETED:
01:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 8/30/2023 Licensing Program Analyst (LPA) Julie Baptista conducted an unannounced Case Management inspection. During today's inspection there were 7 children in care. LPA toured the backyard where licensee has an in ground pool on one side of the yard. This visit was to inspect the pool fencing in the backyard. During the annual inspection on 7/28/23, LPA had observed there were two windows that opened into the pool area.
Licensee has installed additional fencing along the sidewalk to bar access from all windows and doors.
Swimming pool is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool.

No deficiencies were cited during today's visit. A notice of site visit was provided to licensee to post for 30 days.

SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Julie BaptistaTELEPHONE: (559) 767-0213
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1