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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153910610
Report Date: 10/27/2023
Date Signed: 10/27/2023 05:24:46 PM

Document Has Been Signed on 10/27/2023 05:24 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:GROGAN, ANITA FAMILY CHILD CAREFACILITY NUMBER:
153910610
ADMINISTRATOR:GROGAN, ANITAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 379-6802
CITY:BAKERSFIELDSTATE: CAZIP CODE:
93309
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
10/27/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
07:32 AM
MET WITH:Anita GroganTIME COMPLETED:
08:45 AM
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On October 27, 2023 Licensing Program Analyst (LPA) Paul Garcia conducted an unannounced case management visit and met with Licensee Anita Grogan. A tour of the facility was given, and a census was taken. This visit was initiated by licensee to inspect two (2) rooms that were previously off limits that she now wants to use for the children in care.

Current facility sketch was reviewed, and Licensee confirmed that the dining room, den, back yard outdoor play area and bathroom will now used for providing care to children and are accessible to children. All other rooms are off-limits and made inaccessible by use of child safety gates. Safe toys and play equipment are observed in the den. The den offers more square footage than the previous room utilized for care for the children. The dinning room is deemed safe. LPA approves the immediate use for the two previously off limit rooms.

LPAs confirmed that the new facility sketch that was received during visit matched licensees sketch to ensure the accuracy of the areas being used.

LPAs provided Licensee Anita with technical assistance of the CCLD website and the training's that are available to her.

Per Title 22 Division 12 Chapter 3 of the California Code of Regulations no deficiency's are being cited today.

Report was read and exit interview was conducted with Licensee Anita. Notice of Site was provided and must be posted for thirty days.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 10/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/27/2023
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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