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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103904789
Report Date: 09/19/2024
Date Signed: 09/19/2024 09:57:19 AM

Document Has Been Signed on 09/19/2024 09:57 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:NUNEZ DE RODRIGUEZ, FANY FAMILY CHILD CAREFACILITY NUMBER:
103904789
ADMINISTRATOR/
DIRECTOR:
NUNEZ DE RODRIGUEZ, FANYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 875-7862
CITY:SANGERSTATE: CAZIP CODE:
93657
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
09/19/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Fany Nunez De RodriguezTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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On 9/19/2024, an unannounced Case Management - Plan of Correction (POC) Inspection was conducted by Licensing Program Analyst (LPA) Brandon Tate. LPA met with Licensee Fany Nunez De Rodriguez to review the POCs associated to deficiencies cited on 8/27/2024. Also present was licensee’s assistant Celerino Rodreguez Avila. LPA took a census. LPA toured the facility and reviewed files. Today, LPA verified the following:

· Mandated reporter training was current.
· Child locks were placed on cabinets containing cleaning supplies.
· Children’s files contained all pertinent documentation to ensure compliance with California Code of Regulations and Health and Safety code.

LPA cleared deficiencies on this date and provided licensee with a "Letter of Deficiency Citations Cleared." This letter must be filed in the facility for three years and upon request made accessible to the public for review.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies were observed today.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Brandon Tate
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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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