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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543803724
Report Date: 08/26/2021
Date Signed: 08/26/2021 12:38:24 PM

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:MARIA'S DAY CAREFACILITY NUMBER:
543803724
ADMINISTRATOR:HERNANDEZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 329-5382
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY:14CENSUS: 10DATE:
08/26/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:50 AM
MET WITH:Maria HernandezTIME COMPLETED:
12:50 PM
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On 08/26/21 Licensing Program Analysts (LPAs) Nancy Her and Jose Penate, conducted an unannounced Case Management Inspection and were met by Licensees Maria and Luis Hernandez. Licensee is Spanish Speaking and LPA Jose Penate assisted with interpretation. LPAs observed 10 children in care: 4 infants, 5 toddlers, and 1 school age child.

The purpose of this visit was to follow up on CCIB report created on 8/13/2021. Interviews were conducted with Licensee Maria Hernandez and Luis Hernandez. Both Licensees stated that they were unaware of incident that may have occurred at the facility. Licensees stated that they do not recall coming into contact with anyone who was seeking care for a child over the age of 10. Rosters were obtained. LPAs discussed with Licensees to follow current COVID-19 guidelines for Tulare County given by the California Department of Public Health. LPAs also discussed safe sleep and gave Licensee LIC 9227 and a sample of a 15 minute check log. LPAs discussed maintaining capacity at all times.

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

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Duane MatsubaraTELEPHONE: (559)650-7855
LICENSING EVALUATOR NAME: Nancy HerTELEPHONE: (559) 341-5422
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
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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