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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620186
Report Date: 02/02/2024
Date Signed: 02/02/2024 03:16:28 PM

Document Has Been Signed on 02/02/2024 03:16 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:ZAMBRANO, CRISTEL FAMILY CHILD CAREFACILITY NUMBER:
155620186
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
02/02/2024
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Cristel ZambranoTIME COMPLETED:
12:15 PM
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 On February 2, 2024,, an unannounced case management inspection was conducted today by Licensing Program Analysts (LPA), Paul Garcia. LPA met with licensee, Cristel Zambrano. The purpose for today's inspection was to conduct a post licensing follow-up visit on a initial pre-licensing visit that took place on December 27, 2023.

This single-story home has four (4) bedrooms and two (2) bathrooms and children have access to the play room, napping, hallway restroom and the secured gated back yard play yard. Off-limits rooms are made inaccessible by use of child locks. Safe toys and cabinets without unsafe items, and a clean and orderly home were observed. There is a fireplace in the home located in the dining room but will not be used during day-care hours.

Children are supervised when outside in the fenced back yard play area. No poisons were observed on the premises. Cleaning compounds, medications and other hazardous items are inaccessible to children. An operable fire extinguisher, smoke alarm, carbon monoxide and first aid kit are in place. There are no firearms or ammunition on the premises.

This home has a swimming pool that is fenced per regulation. The pool gate is self-latching, self-closing and opens away from the swimming pool. No windows or doors have direct access to the pool area. There is a working telephone and number was verified. Licensee’s CPR and first aid training are current with an expiration date of January 6, 2025. LPA discussed with licensee, fire drills are required to be conducted and documented at least every 6 months. Licensee has provided parents with a copy of the Family Child Care Home Notification of Parent's Rights (LIC 995A). Licensee is aware that any authorized employee of the Department may enter and inspect any place providing personal care and services at any time, with or without advance notice. Background clearances were discussed LPA verified that the adults living in the home and/or providing care and supervision to children were background cleared.

SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: ZAMBRANO, CRISTEL FAMILY CHILD CARE
FACILITY NUMBER: 155620186
VISIT DATE: 02/02/2024
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Days and hours or operation Monday through Friday from 7:30AM to 5:30 PM and as arranged. No overnight care will be provided.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA & licensee discussed the Community Care Licensing Website, Lead Safety, and Mandated Reporter Training: LPA and licensee discussed new additions to the website that include the new PIN (Provider Information Notification) and information for providers including the Quarterly Update that informs licensees of new legislation and regulations. Please follow these steps go to http://www.cdss.ca.gov/, click on “information and resources” click “Community Care Licensing” Click “quarterly updates” click “Child Care advocates program” and register to PIN. LPA left a copy of A Child Care Provider’s Guide to Safe Sleep.

Per Title 22, Division 12, of the California Code of Regulations, no deficiencies were cited.

THIS REPORT SHALL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

LIC 9213 NOTICE OF SITE INSPECTION FORM IS REQUIRED TO BE POSTED FOR 30 DAYS.

SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2024
LIC809 (FAS) - (06/04)
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