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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543806878
Report Date: 07/11/2023
Date Signed: 07/11/2023 02:47:17 PM


Document Has Been Signed on 07/11/2023 02:47 PM - 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:OLMOS, PATRICIA FAMILY CHILD CAREFACILITY NUMBER:
543806878
ADMINISTRATOR:OLMOS, PATRICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 303-3776
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:14CENSUS: 3DATE:
07/11/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Patricia OlmosTIME COMPLETED:
03:00 PM
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On 7/11/2023, Licensing Program Analyst, (LPA) Theresa Marquez conducted a Case Management inspection and met with licensee, Patricia Olmos (English/Spanish speaking). LPA took a census.

The purpose of this inspection is to approve a room addition that is adjacent to the living room. On 6/28/2023, The Visalia Fire Dept granted fire clearance of the room addition.

LPA Marquez toured the new 640 square foot play room. Heating/cooling and ventilation was sufficient for safety and comfort The fire extinguisher, smoke detectors, and carbon monoxide detector met Community Care Licensing (CCL) regulations.

During today's inspection, LPA Marquez granted licensee Olmos approval to use the new playroom.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations no deficiencies were observed today.
An exit interview was conducted and report was reviewed with the licensee Patricia Olmos. During the exit interview, licensee Olmos, confirmed that there are no Registered Sex Offenders living in the day care home.

A copy of the evaluation report, Appeal Rights and the Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/11/2023
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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