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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103909421
Report Date: 11/06/2023
Date Signed: 11/06/2023 11:19:30 AM

Document Has Been Signed on 11/06/2023 11:19 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:VALENZUELA, JAMIE FAMILY CHILD CAREFACILITY NUMBER:
103909421
ADMINISTRATOR:VALENZUELA, JAMIEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 473-3685
CITY:FRESNOSTATE: CAZIP CODE:
93726
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 5DATE:
11/06/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Jamie ValenzuelaTIME COMPLETED:
11:20 AM
NARRATIVE
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On 11/6/2023, Licensing Program Analyst (LPA) Stephanie Vega-Gonzalez and Licensing Program Manager (LPM) Juvenal Moctezuma conducted a case management inspection to ensure that resident JAMIE VALENZUELA is not providing care to children. The proposed decision and order was adopted in its entirety, pursuant to Government Code 11517(c)(2)(A) and became effective as of October 16th, 2023 Indicating that licensees Family Child Care Home License has been revoked. LPA and LPM met with Jamie Valenzuela, also present were three other adults.

On today’s date LPA and LPM observed a family day care sign still posted by the entrance door of facility. LPA and LPM observed the following: Jamie Valenzuela, three adults in the facility, two infants, three toddlers, two small dogs, one large dog, two highchairs, six sleeping cots, one car seat outside of the home, and various toys located inside of the living room.

LPM Moctezuma provided Jamie Valenzuela copies of the following documents and reviewed them with Jamie Valenzuela: Decision and Order, Proposed Decision, Notice of Time Limits for Reconsideration (Gov. Code Section 11521), and Notice Regarding Petition for Reinstatement (Gov. Code Section 11522). Jamie understands that she cannot care for children without a FCCH License. Jamie Valenzuela was informed that children’s legal guardians/parents needed to pick up children that were present on today’s date. Jamie Valenzuela informed LPA and LPM to wait outside while legal guardians/parents pick up children. LPA and LPM observed children being picked up.

LPA and LPM reviewed report and appeal rights with Jamie Valenzuela and provided copies to Jamie Valenzuela.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, the following deficiency is being cited (see LIC9099-D):

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2023
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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Document Has Been Signed on 11/06/2023 11:19 AM - It Cannot Be Edited


Created By: Stephanie Vega-Gonzalez On 11/06/2023 at 11:02 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: VALENZUELA, JAMIE FAMILY CHILD CARE
FACILITY NUMBER: 103909421

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/06/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/06/2023
Section Cited
HSC
1596.80

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§1596.80 Child day care facilities, licenses No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license, therefor as provided in this act.
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Effective October 16, 2023 Jamie Valenzuela understands that she can not provide care for children wihtout a license. LPA and LPM observed children being picked up by parents.
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Based on LPAs observation of 2 infants and three toddlers. Resident is providing unlicensed care to children from different families. This poses an immediate health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Juvenal Moctezuma
LICENSING EVALUATOR NAME:Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/06/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/06/2023


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