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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543909625
Report Date: 01/30/2023
Date Signed: 01/30/2023 11:34:23 AM


Document Has Been Signed on 01/30/2023 11:34 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, 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: DATE:
01/30/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Lorene GarciaTIME COMPLETED:
11:45 AM
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On 01/30/2023, Licensing Program Analysts (LPAs), Diane Mercado and Denisia Jimenez met with Licensee, Lorene Garcia for an unannounced case management inspection. LPAs toured the facility and a census was taken. An Unusual Incident Report was submitted to the Fresno Community Care Licensing Office (CCL) regarding an incident that occurred on 01/06/2023, where child #1 was chocking while eating shortbread crumbs. LPAs discussed and advised Licensee to only provide infants with age appropriate food and snacks.

Based on the information obtained, this appears to be an isolated incident and Licensee took appropriate measures to address the incident and followed appropriate reporting requirements.

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

Exit interview conducted with Licensee, Lorene Garcia. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit to be posted for 30 day.

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Diane MercadoTELEPHONE: 559-341-6334
LICENSING EVALUATOR SIGNATURE:
DATE: 01/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/30/2023
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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