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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620087
Report Date: 05/04/2023
Date Signed: 05/04/2023 11:46:22 AM

Document Has Been Signed on 05/04/2023 11:46 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:FRANCO, MAGDALENA FAMILY CHILD CAREFACILITY NUMBER:
155620087
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 2CENSUS: 2DATE:
05/04/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Magdalena Franco - Licensee TIME COMPLETED:
12:00 PM
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On 5/04/2023, an unannounced Case Management Inspection was conducted by Licensing Program Analyst (LPA) Jessika Thompson. LPA met with Licensee Magdalena Franco and toured the facility. The purpose of today's inspection was to conduct a post licensing follow-up on the initial pre-licensing inspection that took place on 12/14/22. Facility is operating Monday through Friday, from 4:00 AM to 6:00 PM, with two children currently enrolled. This is a single story, four bedroom, two bathroom home. Day-care children have access to the living room, family room, dining room, laundry room and hallway bathroom. Off-limit rooms are made inaccessible by use of child proof safety gates. Licensee maintains a completed Children's Roster. Cribs and play yards are kept free from all loose articles and objects while infants are sleeping. Licensee is aware that there shall be no objects hanging above or attached to the crib or play yard. Infants are not swaddled while in care. Provider physically checks on sleeping infants every fifteen minutes and documents any signs of distress which includes but is not limited to flushed skin color, increase in body temperature, restlessness and labored breathing on the sleeping log. Infants up to 12 months of age are placed on their backs for sleeping.

LPA discussed the requirement of completing a Fire & Disaster drill at minimum once every six months. Provider Information Notices were discussed, and licensee is aware that forms and updated information may be obtained on the Department's website (www.ccld.ca.gov). LPA discussed Required 1-Year inspections with the licensee, detailing what to expect. Reporting requirements were discussed and Licensee understands that unusual incidents must be reported the Fresno Community Care Licensing office during the Department's normal business hours, before the close of the next working day following the occurrence.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies were cited today. An exit interview was conducted with Licensee and appeal rights were provided.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 05/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/04/2023
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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