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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503908458
Report Date: 07/22/2020
Date Signed: 07/22/2020 10:54:23 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:MOEBIUS, MISTY FAMILY CHILD CAREFACILITY NUMBER:
503908458
ADMINISTRATOR:MOEBIUS, MISTYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 345-9814
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY:14CENSUS: 5DATE:
07/22/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Misty MoebiusTIME COMPLETED:
11:30 AM
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LPA Claudia Henley conducted a case management visit. LPA met with licensee Misty Moebius and her spouse. The purpose of today's visit was to re-inspect the wrought iron pool fencing. On visit dated 6/30/2020, one section of the wrought iron fencing was not five feet high and did not meet Title 22 Regulations.

LPA inspected the pool fencing today and measurements were taken today. The one pool wrought iron fence panel is now five feet high and meets the regulations. Licensee also added more rock gravel material down on the ground underneath the fencing. A revised facility sketch for outdoors was obtained today.

No deficiencies were cited. Site Visit Notice posted.
SUPERVISOR'S NAME: Alice JuarezTELEPHONE: (559) 650-7857
LICENSING EVALUATOR NAME: Claudia HenleyTELEPHONE: (559) 341-5776
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2020
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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