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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620346
Report Date: 04/18/2024
Date Signed: 04/18/2024 01:38:37 PM

Document Has Been Signed on 04/18/2024 01:38 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:LOPEZ, NANCY FAMILY CHILD CAREFACILITY NUMBER:
155620346
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
04/18/2024
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Licensee, Nancy LopezTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 04/18/2024, Licensing Program Analyst (LPA) Jose Penate conducted a Case Management, 90-day Post inspection. LPA met with Licensee, Nancy Lopez, toured the facility and took a census. The purpose of today's inspection was to conduct a 90-day inspection due to recent licensure on 01/17/2024. This is a single-story home and children will have access to the living room, dining room (day care room), and hall bathroom. The outdoor play area in the backyard is fenced and there are no hazards to children present. Off-limits rooms and closets are made inaccessible by doorknob safety covers or safety gates. Monday through Friday from 6:00 AM to 6:00 PM and as arranged. No overnight care will be provided.

LPA reviewed a sample of children’s files which contained all required documentation including Licensing forms and proof of immunization's. LPA explained the Family Child Care Home requirements regarding Incidental Medical Services (IMS), Safe Sleep regulations and requirements, information regarding pools and other bodies of water, and emergency/disaster drills. LPA provided written materials to Licensee regarding these requirements.



LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were cited during today’s inspection.

Notice of Site Visit Form to be posted for 30 days.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Jose Penate
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2024
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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