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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 153911810
Report Date: 12/15/2022
Date Signed: 12/15/2022 09:37:38 AM

Document Has Been Signed on 12/15/2022 09:37 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:RODRIGUEZ, ELIM FAMILY CHILD CAREFACILITY NUMBER:
153911810
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
12/15/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Elim RodriguezTIME COMPLETED:
09:45 AM
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On 12/15/22, Licensing Program Analyst (LPA) Gloria Reyes conducted a case management inspection. LPA met with Licensee, Elim Rodriguez. The purpose of today's visit is to inspect the backyard which is currently off-limits to children. There are no children in care today.

Licensee had placed a temporary plastic mesh fence around her patio area to make the remainder of the backyard off-limits to children. This mesh fencing can easily be removed and is not secured. LPA explained to licensee that she would need a fence which is more secured to prevent a child from leaning against the plastic mesh and falling through it. Licensee will look into another type of material to use and contact licensing when she is ready. The backyard will continue to remain off-limits to children.


Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency cited.

Exit interview conducted with licensee. A copy of this report was provided and discussed. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Gloria Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 12/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/15/2022
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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