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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103900433
Report Date: 07/07/2023
Date Signed: 07/07/2023 11:46:51 AM

Document Has Been Signed on 07/07/2023 11:46 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:JACKSON,SUZETTEFACILITY NUMBER:
103900433
ADMINISTRATOR:JACKSON,SUZETTEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 708-8700
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 14TOTAL ENROLLED CHILDREN: 20CENSUS: 10DATE:
07/07/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Suzette Jackson TIME COMPLETED:
11:50 AM
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On 07/07/23 licensing Program Analyst (LPA) Denisia Jimenez and Licensing Program Manager Juvenal Moctezuma conducted an unannounced case management inspection to inspect the newly built enclosed patio that will be used for primary day care. LPA and LPM met with licensee Suzette Jackson who is caring for 10 children with the help of her assistant. LPA observed the patio is enclosed with 6 glass windows, toys, a diaper changing station,a table with chairs, a water dispenser, cots, high chair, air conditioner, recliner, and storage cabinets anchored to the wall. LPA toured the outdoor play area and observed plenty of toys. There's a pool with an enclosed metal gate with a self latching gate. There's a hot tub that is inaccessible to children by a locked door and cover that only licensee has access to. Licensee provided LPA with a copy of the patio permit that was issued by the city of Fresno. There is an AC Unit to keep the patio room cool and warm when needed. The patio is approved for children to use effective today. Licensee was reminded to notify licensing if there are ever any other structural changes to her home. Licensee understood.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited. Exit interview conducted with Licensee, Suzette Jackson. This report is to be made available to the public upon request.

LIC 9213 Notice of Site Visit to be posted for 30 day.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Denisia Jimenez
LICENSING EVALUATOR SIGNATURE: DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/07/2023
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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