<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910744
Report Date: 06/14/2023
Date Signed: 06/14/2023 02:01:00 PM


Document Has Been Signed on 06/14/2023 02:01 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:SISNEROS, ANGELICA FAMILY CHILD CAREFACILITY NUMBER:
543910744
ADMINISTRATOR:SISNEROS, ANGELICAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 920-1303
CITY:LINDSAYSTATE: CAZIP CODE:
93247
CAPACITY:14CENSUS: 0DATE:
06/14/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Angelica SisnerosTIME COMPLETED:
02:15 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 6/14/2023, Licensing Program Analyst (LPA) Ocegueda conducted an unannounced case management inspection to address an Unusual Incident that was reported to the Department by licensee on 4/13/2023. Today, LPA met with licensee Angelica Sisneros, toured the home and took a census.

Licensee has the first floor as accessible but primarily uses the front living room for care and supervision and she is currently the only person who cares for day care children. The incident reported on 4/13/2023, was regarding child #1 saying something inappropriate in nature to child #2 who is no longer in care. LPA indicated today that child #1 is not left alone with the children in care. Licensee stated that she often discusses what appropriate behavior and language is expected of all children in her home and in care. Per licensee, the incident took place on or about the last week of March 2023 while she was transporting children. Although licensee did not hear the comment in the moment, she later found out that she was present when the comment was made.

Licensee stated she has since spoken to child #1 about his/her comment and addressed the behavior immediately with him/her. Licensee immediately told the parent of child #2 during pick up and reported the incident the Licensing Department as required. Licensee continues to supervise the children while at the facility and while transporting the children. Licensee stated she will be more mindful of what children are saying to each other during the day and continue to remind them of appropriate language and behavior. LPA reviewed personal rights and supervision.

Facility met all reporting requirements as specified in Title 22 Regulation 101212 - Reporting Requirements. The incident is an isolated incident and not a result of lack of care and supervision.



Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, no deficiency was cited today. An exit interview was conducted with licensee Angelica Sisneros. This report is to be made available to the public upon request. LIC 9213 Notice of Site Visit 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: 06/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1