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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103910449
Report Date: 05/25/2023
Date Signed: 05/25/2023 12:45:30 PM

Document Has Been Signed on 05/25/2023 12:45 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HERNANDEZ, LETICIA FAMILY CHILD CAREFACILITY NUMBER:
103910449
ADMINISTRATOR:HERNANDEZ, LETICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 567-4434
CITY:KERMANSTATE: CAZIP CODE:
93630
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 8DATE:
05/25/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Leticia HernandezTIME COMPLETED:
01:00 PM
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On 5/25/23, Licensing Program Analyst (LPA) Priscilla Zamudio arrived at the facility to conduct an unannounced Case Management inspection. LPA met with Licensee, Leticia Hernandez. LPA toured the facility and a census was taken of 8 children. The purpose of today's inspection was regarding an unusual incident that was reported to the Fresno Childcare Regional Office on 3/13/23 and a police report dated 3/3/23. On 3/2/23, Child #1 bit Child #2 on the cheek. There was no mark or open skin. Licensee notified the parents and requested to have Child #1 picked up. Licensee later informed the parent of Child #1 they could not return due to behavioral concerns. On 3/3/23, law enforcement contacted licensee to investigate allegations made by Child#1 and no further action was taken.

During today’s inspection, LPA interviewed licensee and her assistant to discuss the Kerman Police Department report. Based on information gathered and observations made by LPA, there were no obvious concerns or hazards found. Licensee and assistant are implementing adequate care and supervision at the facility.

Per Title 22, Division 12, Chapter 1, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Licensee Leticia Hernandez.

This report shall be made available to the public upon request. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Priscilla Zamudio
LICENSING EVALUATOR SIGNATURE: DATE: 05/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/25/2023
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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