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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543908443
Report Date: 12/10/2024
Date Signed: 12/10/2024 10:34:24 AM

Document Has Been Signed on 12/10/2024 10:34 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:PENA, JANIE FAMILY CHILD CAREFACILITY NUMBER:
543908443
ADMINISTRATOR/
DIRECTOR:		PENA, JANIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 741-1966
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/10/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Janie PenaTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 12/10/2024 Licensing Program Analyst (LPA), Anita Tristan conducted an unannounced Annual Required 3 Year Inspection and was met by licensee, Janie Pena. Licensee stated that she has not been operating since June 1, 2021 and referred all of the children enrolled in her daycare to other facilities. LPA Tristan toured the facility and there were no children present.

There is a built-in swimming pool in the backyard which is fenced and made inaccessible. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. LPA reviewed AB2866 The Pool Safety Act with licensee.

LPA reviewed inactive status options and past due fees with licensee.

LPA Tristan provided technical assistance to Licensee regarding placing her license inactive; Licensee stated that she would like to go inactive. LPA Tristan provided Licensee with the Request for Inactive form LIC 9211 and Licensee will fill it out and returned when completed form to LPA Tristan.



There are no issues to report at this time.
Luisa GavoutianTELEPHONE: (559) 650-7879
Anita TristanTELEPHONE: (559) 243-4588
DATE: 12/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/10/2024
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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