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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543907142
Report Date: 06/01/2023
Date Signed: 06/01/2023 01:47:01 PM


Document Has Been Signed on 06/01/2023 01:47 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:REYES, SILVIA FAMILY CHILD CAREFACILITY NUMBER:
543907142
ADMINISTRATOR:REYES, SILVIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 306-4132
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 3DATE:
06/01/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Silvia ReyesTIME COMPLETED:
02:00 PM
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On 6/1/2023, Licensing Program Analyst (LPA) Ruby Ocegueda conducted an unannounced case management inspection for the purposes of discussing licensee possibly using an outside room for day care purposes in the near future. LPA toured the home and took a census.

Licensee and LPA discussed the requirements to use the disconnected structure for day care purposes. Per licensee the structure was already part of the home when she purchased the home approximately 20 plus years ago. She is not sure if it was permitted. The structure has a restroom and shower, but no kitchen and has air conditioning inside. Licensee would like to use the structure for day care use and no longer use the inside of her home.

LPA discussed the required forms that she should submit, however LPA will first consult further on whether or not she will need a permit from her local city planning and building office to use the space.

LPA reminded licensee that she could not use the space unless she obtained a proper fire clearance and Licensing Department inspection and approval. Licensee stated she understood and that she would not be using that space.

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: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/01/2023
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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