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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543805875
Report Date: 12/08/2021
Date Signed: 12/08/2021 03:18:57 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:FELIZ DAY CAREFACILITY NUMBER:
543805875
ADMINISTRATOR:DELGADO, FELISIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 625-2729
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:14CENSUS: 1DATE:
12/08/2021
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Felisana Delgado - LicenseeTIME COMPLETED:
03:35 PM
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On 12/8/21 an unannounced Case Management - Plan of Correction (POC) Inspection was conducted by Licensing Program Analyst (LPA) Jessika Thompson. LPA met with Licensee Felisana Delgado to discuss the POC associated to the deficiency cited on 8/11/21.
Today, the licensee provided proof of Child Abuse Mandated Reporter training, completed 8/12/21, thereby clearing the deficiency previously cited.

LPA provided the licensee with a "Letter of Deficiency Citations Cleared." Letter must be filed in 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 are observed today

LIC 9213 NOTICE OF SITE VISIT FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Diana deLeonTELEPHONE: (559) 650-7854
LICENSING EVALUATOR NAME: Jessika ThompsonTELEPHONE: 559-341-4622
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2021
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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