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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503909841
Report Date: 02/21/2023
Date Signed: 02/21/2023 11:10:31 AM


Document Has Been Signed on 02/21/2023 11:10 AM - 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:LOUIS, SONDRA FAMILY CHILD CAREFACILITY NUMBER:
503909841
ADMINISTRATOR:LOUIS, SONDRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 605-5998
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:14CENSUS: 10DATE:
02/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Sondra LouisTIME COMPLETED:
11:30 AM
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On 2-21-2023 Licensing Program Analyst (LPA) Julie Baptista and Licensing Program Manager (LPM) Cynthia Brannon met with licensee, Sondra Louis. During today's inspection, LPA reviewed children and staff files, took a census and toured the inside of facility.

While reviewing children's files, LPA observed that child #1 did not have updated immunization in file. LPA reviewed with licensee that children's updated immunization are to be documented as required.

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

Exit interview conducted and report was reviewed with licensee, Sondra Louis.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Julie BaptistaTELEPHONE: (559) 650-7859
LICENSING EVALUATOR SIGNATURE:
DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/21/2023
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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