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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103910386
Report Date: 09/30/2024
Date Signed: 10/02/2024 01:18:05 PM

Document Has Been Signed on 10/02/2024 01:18 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 CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:FERNANDEZ, HELEN FAMILY CHILD CAREFACILITY NUMBER:
103910386
ADMINISTRATOR/
DIRECTOR:		FERNANDEZ, HELENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 478-5163
CITY:FRESNOSTATE: CAZIP CODE:
93710
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
09/30/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Helen FernandezTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
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On 09/30/2024, Licensing Program Analyst (LPA) Aurelio Mendoza conducted an unannounced annual inspection at the facility, met by Licensee Helen Fernandez, with the licensee's husband present. The facility operates Monday through Friday, 7:00 AM to 5:30 PM and best contact number is 559-360-7447

LPA toured the home, confirmed the accessible areas used for care, and ensured all other rooms were made inaccessible with door knob spinners. The backyard has a fenced pool with a self-latching, self-closing gate. There are no firearms or ammunition, and hazardous items are locked away. A fireplace is secured with a screen and will not be used during daycare hours. The home has working safety devices including a fire extinguisher, smoke and carbon monoxide detectors, and sufficient heating and ventilation.

Children are supervised at all times, and the outdoor play area is secure. The facility complies with its licensed capacity. Children's files were reviewed and found complete. Licensee’s Mandated Reporter Training and CPR/First Aid certifications are current, and all required immunization records are on file. Licensee’s Mandated Reporter Training is valid through 06/13/2026. Licensee’s pediatric CPR/First Aid certification expires on 11/2025.

LPA discussed various regulations, including safe sleep practices, reporting requirements, criminal record clearances, and incidental medical services (IMS). Licensee was reminded of resources such as the Community Care Licensing website and MyChildCarePlan.org.

An exit interview was conducted, and the report was reviewed with Licensee Helen Fernandez. No deficiencies were cited per Title 22, Division 12, Chapter 3 of the California Code of Regulations. Licensee was provided with appeal rights and the Notice of Site Visit, which must be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE: DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/30/2024
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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