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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620015
Report Date: 01/18/2024
Date Signed: 01/18/2024 03:02:58 PM

Document Has Been Signed on 01/18/2024 03:02 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:RODRIGUEZ, ANA FAMILY CHILD CAREFACILITY NUMBER:
155620015
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/18/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Ana RodriguezTIME COMPLETED:
03:10 PM
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A second announced pre-licensing inspection was conducted today by Licensing Program Analyst (LPA), Norma Lomeli. Met with Applicant, Ana Rodriguez. Applicant her husband and her adult daughter reside in the home. Background clearances are discussed and LIS 531 is signed indicating that the adults currently living in the home and/or providing care and supervision to children have a criminal record clearance.

The purpose of today's inspection is to inspect the following corrections were made.
  • Applicant made inaccessible the direct access from the two windows from the home to the above-ground pool (body of water) by installing a mesh fencing that meets title 22 Regulations. The gate is self-latching/self-closing, swings away from the pool.

Licensure as a Small Family Day Care Home capacity of 8 children will be recommended effective 1/22/24

* Planned hours of operation are Monday through Friday from 5:00 AM to 4:00 PM.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2024
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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