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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153908517
Report Date: 04/27/2022
Date Signed: 04/27/2022 12:29:57 PM

Document Has Been Signed on 04/27/2022 12:29 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:ESPINOZA, CATALINA FAMILY CHILD CAREFACILITY NUMBER:
153908517
ADMINISTRATOR:ESPINOZA, CATALINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 709-5856
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/27/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Catalina EspinozaTIME COMPLETED:
01:00 PM
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On 04/09/2022, Licensing Program Analyst (LPA) Gloria Reyes conducted a case management visit with Licensee, Catalina Espinoza to address the shared property fence that has fallen in the backyard. LPA informed licensee that in the near future the fence will need to be replaced.

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.

SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Gloria Reyes
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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