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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103911694
Report Date: 04/27/2022
Date Signed: 04/27/2022 09:35:36 PM

Document Has Been Signed on 04/27/2022 09:35 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:DAVILA, GABRIELA FAMILY CHILD CAREFACILITY NUMBER:
103911694
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
04/27/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Gabriela DavilaTIME COMPLETED:
02:30 PM
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On 04/27/2022 a planned second pre-licensing inspection was made today by Licensing Program Analyst (LPA) Rene Mancinas, who met with Applicant, Gabriela Davila. Purpose of the inspection was to ensure the following correction(s) were made:

Before Licensure the following items were to be corrected to avoid the application from being withdrawn:

1. Applicant is to install a pool fencing which meets fencing regulation requirements.

2. Applicant is to install safety devices (e.g. safety latches, door knob spinners) to prevent children from access to inaccessible rooms and cabinets with hazardous items.

3. Applicant needs to purchase a 2:A -10:BC fire extinguisher.

The above items were corrected and verified during today's inspection.

This home meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of California Code of Regulations and licensure for a capacity of up to eight children. Licensure as a Small Family Child Care Home capacity of eight children* ages under 18 years, will be recommended effective 04/28/2022. Planned hours of operation are Monday through Friday from 05:00AM - 05:00PM, and as arranged

A copy of this report is to remain in the facility for public review.
This report shall be made available to the public upon request.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Rene Mancinas
LICENSING EVALUATOR SIGNATURE: DATE: 04/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/27/2022
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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