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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103911814
Report Date: 02/09/2023
Date Signed: 02/09/2023 03:21:57 PM

Document Has Been Signed on 02/09/2023 03:21 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:JUAREZ, MARY FAMILY CHILD CAREFACILITY NUMBER:
103911814
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 6DATE:
02/09/2023
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
02:05 PM
MET WITH:Myrna ChavezTIME COMPLETED:
03:35 PM
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On 02/09/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Anita Tristan conducted an unannounced case management inspection and met with licensee Mary Juarez and assistant Myrna Chavez . The purpose of today’s inspection was to follow up with licensee, Mary Juarez since being initially licensed on 10/4/2022. Upon arrival, LPA’s met with assistant Myrna Chavez, later during the inspection licensee arrived. LPA’s toured the facility indoors and outdoors and obtained a census.

LPAs reviewed required forms needed to be posted and forms needed for each child in care. LPAs provided information on Safe Sleep practices and information available on the Department website (www.ccld.ca.gov), such as how to access Provider Information Notices (PINs) and other resources available to child care providers. Covid-19 Technical Assistance was provided.

LPA’s conducted a file review of children and staff files and observed that assistant #1 and assistant #2 did not have current CPR training. LPA reviewed the requirement to have staff CPR trained when alone with the children (even momentarily) as they were today. Licensee stated she understood.

Hours of operation are Monday through Friday from 7:30 AM to 5:30 PM.

Per California Code of Regulations Title 22 Division 12, Chapter 3, no deficiency is being cited today. Notice of Site Visit to be posted for 30 days.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 02/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/09/2023
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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