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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543907665
Report Date: 07/14/2022
Date Signed: 07/14/2022 11:56:41 AM


Document Has Been Signed on 07/14/2022 11:56 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:BENEVEDES, CHRISTINE & MCCOY, MORIAH FCCFACILITY NUMBER:
543907665
ADMINISTRATOR:BENEVEDES, CHRISTINEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 625-1704
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY:14CENSUS: 14DATE:
07/14/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Christine BenevedesTIME COMPLETED:
12:00 PM
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On 7/14/2022, Licensing Program Analyst (LPA) Theresa Marquez conducted a Plan of Correction inspection and met with licensees Christine Benevedes and Moriah McCoy.

The purpose of this inspection is to confirm the deficiency cited on 5/24/2022 has been corrected. LPA Marquez toured the back yard of the day care home and the observed the green artificial turf in the backyard that was is loosened and ripped has been repaired and/or replaced in sections. LPA Marquez did not observe any loosen turf.
The deficiency has been corrected.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency was cited during today's visit.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Theresa MarquezTELEPHONE: (559) 341-7123
LICENSING EVALUATOR SIGNATURE:
DATE: 07/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/14/2022
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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