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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910539
Report Date: 12/05/2022
Date Signed: 12/05/2022 12:59:02 PM


Document Has Been Signed on 12/05/2022 12:59 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:VASQUEZ, TAMMY FAMILY CHILD CAREFACILITY NUMBER:
543910539
ADMINISTRATOR:VASQUEZ, TAMMYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 306-2822
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 0DATE:
12/05/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Tammy VasquezTIME COMPLETED:
01:15 PM
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On 12/5/2022, Licensing Program Analyst (LPA) Ruby Ocegueda conducted an unannounced inspection in the home. Today, Licensee stated that she had not operated her day care in approximately over 2 years and that she wishes to permanently close her facility. Licensee was not aware that her license continued to be active. Today, LPA confirmed there were no children in care and collected licensees paper license with written statement. LPA will process licensees request and close her day care license effective today.

Per Title 22, division 12, chapter 3 of the California Code of Regulations no deficiencies cited today.
SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/05/2022
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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