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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543802461
Report Date: 03/08/2023
Date Signed: 03/08/2023 11:36:26 AM


Document Has Been Signed on 03/08/2023 11:36 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710



FACILITY NAME:OWENS FAMILY CHILD CAREFACILITY NUMBER:
543802461
ADMINISTRATOR:OWENS, KATHERINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 783-9065
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 4DATE:
03/08/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Katherine OwensTIME COMPLETED:
11:50 AM
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 3/8/2023, an unannounced Case Management - Plan of Correction (POC) Inspection was conducted by Licensing Program Analyst (LPA) Ruby Ocegueda. LPA met with Licensee Katherine Owens to review the POC associated to deficiencies cited on 1/13/2023. LPA toured the home and took a census. Today, LPA verified the following:

The child size eating counters in the playroom were clean and free of clutter. The counters in the kitchen did not have any medication or cleaning products and were free of food debris. The two highchairs in the playroom were wiped clean. The plastic faces of the dolls were no longer full of smudges. There was still permanent staining on the plastic of one high chair, however licensee stated she would buy a new one for children to use.

LPA reminded licensee that her counters should remain free of hazardous items and clutter and that she should continue to monitor her equipment and toys to ensure they were clean and safe. If she could not ensure she could regularly clean dolls or stuffed animals, she should place toys out of reach until they are cleaned. Licensee stated she understood.

LPA cleared deficiencies on this date and provided licensee with a "Letter of Deficiency Citations Cleared." This letter must be filed in the facility for three years and upon request made accessible to the public for review.

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

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/08/2023
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