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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910265
Report Date: 04/18/2024
Date Signed: 04/18/2024 09:50:46 AM


Document Has Been Signed on 04/18/2024 09:50 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:CORREA, CHERILYN FAMILY CHILD CAREFACILITY NUMBER:
543910265
ADMINISTRATOR:CORREA, CHERILYNFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 280-5184
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:14CENSUS: 8DATE:
04/18/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Cherilyn CorreaTIME COMPLETED:
10:00 AM
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On April 18, 2024 Licensing Program Analyst (LPA) Kari McWilliams conducted an unannounced case management inspection and met with Licensee Cherilyn Correa and informed her of the purpose of the inspection. LPA toured the facility and a census was taken.

LPA McWilliams went over the Decision and Order for Licensee's husband with Licensee and ensured that he was was not currently at the facility and no longer lives at the facility. LPA provided a copy of the Decision and Order to the Licensee.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Exit interview conducted and report was reviewed with the licensee Cherilyn Correa.


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

A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Luisa GavoutianTELEPHONE: (559) 650-7879
LICENSING EVALUATOR NAME: Kari McWilliamsTELEPHONE: (559) 341-4724
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2024
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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