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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543909625
Report Date: 10/16/2019
Date Signed: 10/16/2019 09:18:05 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GARCIA, LORENE FAMILY CHILD CAREFACILITY NUMBER:
543909625
ADMINISTRATOR:GARCIA, LORENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 544-9221
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY:14CENSUS: 9DATE:
10/16/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Lorene GarciaTIME COMPLETED:
09:30 AM
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On this date Licensing Program Analysts (LPAs) Diane Mercado and Robert Gutierrez made a Case Management – licensee initiated inspection. LPAs met with Licensee Lorene Garcia also present was Licensee Husband/assistant whom is fingerprint cleared. The purpose of today’s inspection was to inspect the off-limits garage that was converted into a day-care room. Licensee has permits for the garage conversion. A fire clearance was granted by the local fire authority on 9/24/2019. LPAs observed in the new day-care room furniture equipment and toys that are age appropriate. There is heating and ventilation for safety and comfort. LPAs observed in the day care room a laundry room made inaccessible to children via children’s safety gate. During today’s inspection LPAs received a new facility sketch and emergency disaster plan. The rooms accessible to children in care are the day care room, hallway bathroom, dining room, living room, kitchen and back yard. Bedrooms are made inaccessible via plastic door knob spinners.

NO DEFICIENCIES OBSERVED IN THE AREAS INSPECTED DURING TODAY’S VISIT.

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: Diane MercadoTELEPHONE: (559) 341-6334
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019
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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