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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543908705
Report Date: 08/30/2022
Date Signed: 08/30/2022 01:49:17 PM


Document Has Been Signed on 08/30/2022 01:49 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:NUNEZ, ALMA FAMILY CHILD CAREFACILITY NUMBER:
543908705
ADMINISTRATOR:NUNEZ, ALMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 789-6276
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 3DATE:
08/30/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
01:35 PM
MET WITH:Nunez, AlmaTIME COMPLETED:
02:05 PM
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On 8/30/2022, Licensing Program Analyst (LPA) Ruby Ocegueda conducted an unannounced Plan of Correction (POC) Inspection. LPA met with Licensee Alma Nunez to review the POC associated to the deficiency cited on 8/12/2022. LPA toured the facility and a census was taken.

LPA inspected the pool gate directly outside of the master bedroom and observed that pool gate was now self-latching. The door to the master bedroom was also made inaccessible by a door knob safety cover and the sliding glass door leading outside was locked.

LPA cleared the deficiency on this date. Licensee will receive "Letter of Deficiency Citations Cleared” via mail. An Exit interview was conducted with Alma Nunez.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.


LIC 9213 NOTICE OF SITE VISIT FORM IS 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: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2022
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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