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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153806587
Report Date: 05/16/2023
Date Signed: 05/16/2023 11:26:44 AM

Document Has Been Signed on 05/16/2023 11:26 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 SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MARZETT, DEBORAH FAMILY CHILD CAREFACILITY NUMBER:
153806587
ADMINISTRATOR:MARZETT, DEBORAHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 444-1675
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
05/16/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Deborah MarzettTIME COMPLETED:
11:35 AM
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On 05/16/2023, Licensing Program Analyst (LPA) Candis Rodriguez conducted an unannounced Annual Required inspection at facility.

The purpose of this case management report is to complete the inspection tool process. The full report is available as Annual Required Inspection dated 05/16/2023.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Candis Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2023
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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