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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103909038
Report Date: 04/25/2022
Date Signed: 04/25/2022 10:24:44 AM

Document Has Been Signed on 04/25/2022 10:24 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:BROWN, DARYLMIKA FAMILY CHILD CAREFACILITY NUMBER:
103909038
ADMINISTRATOR:BROWN, DARYLMIKAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 940-3270
CITY:FRESNOSTATE: CAZIP CODE:
93722
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 1DATE:
04/25/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Darlymika BrownTIME COMPLETED:
10:35 AM
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On 04/25/2022, Licensing Program Analyst (LPA) Jeovanna Yanez and Licensing Program Manager (LPM) Diana de Leon arrived at the facility to conduct an unnanounced case management inspection. LPA and LPM were greeted by Licensee, Darlymika Brown, and a census was taken. The purpose of this inspection is to discuss cleanliness in the facility.

Upon arrival at the facility, both LPA and LPM observed several boxes and bags containing trash on the floor throughout the kitchen. Licensee stated she was going to move these items and take them out immediately. A technical violation was issued to address the cleanliness and remind Licensee that the house should be free of any litter and/or clutter.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiency is being cited. Notice of Site Inspection to be posted for 30 days.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2022
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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