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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910174
Report Date: 12/05/2022
Date Signed: 12/05/2022 08:52:08 AM

Document Has Been Signed on 12/05/2022 08:52 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:SERNAS, ADRIANA FAMILY CHILD CAREFACILITY NUMBER:
153910174
ADMINISTRATOR:SERNAS, ADRIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(661) 709-1472
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
12/05/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Adriana SernasTIME COMPLETED:
09:15 AM
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On 12/05/2022, Licensing Program Analyst (LPA) Gloria Reyes conducted an unannounced case management inspection and was met by Licensee, Adriana Sernas. The purpose of today's visit is to inspect the room addition. The room addition is next to the dining room. This room addition has a bathroom, carbon monoxide detector, smoke detector, and fire extinguisher. There is a sliding glass door that exits to the backyard, French doors that opens into the new room addition from the dining room and a side door which may used by the parent to enter the room addition. The backyard will continue to remain off-limits to children. Kern County Fire Department has approved the fire clearance on 11/23/22. Licensee has provided an updated facility sketch to include the room addition. This room can now be used by day-care children.

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

Exit interview was conducted with licensee. 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: Duane Matsubara
LICENSING EVALUATOR NAME: Gloria Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2022
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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