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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153807179
Report Date: 10/19/2022
Date Signed: 10/19/2022 01:21:25 PM

Document Has Been Signed on 10/19/2022 01:21 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:ZARAZUA, NORMA FAMILY CHILD CAREFACILITY NUMBER:
153807179
ADMINISTRATOR:ZARAZUA, NORMAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 637-6238
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93307
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
10/19/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Norma ZarazuaTIME COMPLETED:
01:45 PM
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On 10/19/2022, Licensing Program Analysts (LPA's), Jose Penate and Daniel Alvarez conducted an unannounced Case Management inspection today with Licensee, Norma Zarazua (Spanish speaking). Licensee stated she has not been watching day-care children since August 5, 2022. Licensee stated she is wanting to place her license on Inactive Status due to medical reasons, she stated that she will not care for children until approved from physician and current date to re-open is January 3, 2023. During today's inspection, licensee filled out inactive form LIC 9211. Licensee has been instructed to follow the conditions listed on the inactive form. During inspection LPA's gathered information for family member who now resides in the home that has recently received approved status for fingerprints. LPA received all documentation required and will associate new assistant to facility.

Per California Code of Regulations Title 22, no deficiency cited during today's inspection.

Exit interview conducted with the licensee, Norma Zarazua. A copy of this report shall be placed in facility file 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: Duane Matsubara
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2022
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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