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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801211
Report Date: 11/12/2024
Date Signed: 11/12/2024 02:28:56 PM

Document Has Been Signed on 11/12/2024 02:28 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SELMA MIGRANT HEAD STARTFACILITY NUMBER:
103801211
ADMINISTRATOR/
DIRECTOR:		CARMEN CEDENO GOMEZFACILITY TYPE:
850
ADDRESS:12898 S. FOWLER AVENUETELEPHONE:
(559) 896-4479
CITY:SELMASTATE: CAZIP CODE:
93662
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 19DATE:
11/12/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Carmen Cedeno GomezTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 11/12/24, Licensing Program Analyst (LPA) Claribel Soto conducted a Case Management Inspection of newly added playground at the facility. LPA met with Center Director, Carmen Cedeno Gomez and toured the facility. Center Director contacted LPA Soto on 11/4/2024 to inform LPA Soto that the play area was now completed.

Upon inspection of the playground, LPA observed various age-appropriate playground equipment for the toddlers including structure with climbing area which shows a sticker showing age use of 6-24 months old.

The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around the playground equipment have new sponge turf installed to provide cushion to absorb falls.
LPA recommended to clean the playground equipment before using them.

LPA approved the toddler playground equipment and may now be used by the facility.

Per Title 22, Division 12, Chapter 1 of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Center Director, Carmen Cedeno Gomez. Appeal rights were provided.
SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Claribel Soto
LICENSING EVALUATOR SIGNATURE: DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
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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