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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 155620599
Report Date: 12/03/2024
Date Signed: 12/03/2024 02:16:55 PM

Document Has Been Signed on 12/03/2024 02:16 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:RODRIGUEZ, BRENDA FAMILY CHILD CAREFACILITY NUMBER:
155620599
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/03/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Brenda RodriguezTIME VISIT/
INSPECTION COMPLETED:
02:20 PM
NARRATIVE
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A second announced pre-licensing inspection was conducted today by Licensing Program Analyst (LPA), Norma Lomeli. Met with Spanish-speaking Applicant, Brenda Rodriguez. Applicant, her husband, her adult son, her adult daughter, her adult son in law and one 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.
  • LPA inspected the black wrought iron fence. Applicant measure the height and width of the fencing with a measuring tape. The fence around the in-ground pool measures five feet in height. The gaps of the fence are four inches or less in width. The latching device is now located no more than six inches from the top of the gate. LPA observed the in-ground pool fencing and gate is incompliance with Title 22 Regulations.

Licensure as a Small Family Day Care Home capacity of 8 children will be recommended effective 12/4/2024.

* Planned hours of operation are Monday through Friday from 6:00 AM to 6:00 PM.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE: DATE: 12/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/03/2024
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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