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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153908072
Report Date: 03/22/2024
Date Signed: 03/22/2024 10:05:48 AM

Document Has Been Signed on 03/22/2024 10:05 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:JUAREZ, MARIA FAMILY CHILD CAREFACILITY NUMBER:
153908072
ADMINISTRATOR:JUAREZ, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 589-8869
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93314
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
03/22/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Maria JuarezTIME COMPLETED:
10:15 AM
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On March 22, 2024, Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced case management visit and met with Licensee Maria Juarez. A tour of the facility was given, and a census was taken. The purpose of this visit was to follow up on an unusual incident report dated March 18, 2024, pertaining to a tree that fell in the back yard. Per licensee’s request the back yard will be an off-limits area to children. Licensee provided LPA with an updated facility sketch of the accessible area for the children.

Licensee confirmed that dining room, living room, bathroom and nook area are only used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of child safety gates. The outdoor play area in the backyard shall remain off limits to children until inspected and approved by a representative of the department.

Per Title 22 Division of the California Code of Regulations no deficiencies are being cited today.

Report was provided and an exit interview was conducted with Licensee.

Notice of Site was provided and must be posted for thirty days.

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2024
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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