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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620188
Report Date: 08/29/2023
Date Signed: 08/29/2023 02:44:31 PM

Document Has Been Signed on 08/29/2023 02:44 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:GUTIERREZ, CRISTINA FAMILY CHILD CAREFACILITY NUMBER:
155620188
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/29/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Cristina GutierrezTIME COMPLETED:
02:50 PM
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A second announced pre-licensing inspection was conducted today by Licensing Program Analyst (LPA), Norma Lomeli. Met with Applicant, Cristina Gutierrez. Applicant, her husband and two minor child 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 obtained a 2A10BC fire extinguisher.
  • Applicant stored all poisons under key lock inside a storage cabinet that is located in the backyard.
  • Applicant made the water heater door that is located on the side run of the home inaccessible to the day care children by installing a plastic door knob covers.
  • Applicant obtained a pool fence that meets Title 22 Regulations. The gate is self-closing/self latching.

Licensure as a Small Family Day Care Home capacity of 8 children will be recommended effective 8/30/23.

* Planned hours of operation are Monday through Friday from 7:30 AM to 4:30 PM.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE: DATE: 08/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/29/2023
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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