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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163905070
Report Date: 09/19/2023
Date Signed: 09/19/2023 09:58:27 AM

Document Has Been Signed on 09/19/2023 09:58 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:GONZALEZ, YOLANDA FAMILY CHILD CAREFACILITY NUMBER:
163905070
ADMINISTRATOR:GONZALEZ, YOLANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 816-3156
CITY:LEMOORESTATE: CAZIP CODE:
93245
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
09/19/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
07:10 AM
MET WITH:Yolanda GonzalezTIME COMPLETED:
10:00 AM
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On September 19, 2023, at approximately 7:10 AM Licensing Program Analyst (LPA) Paul Garcia attempted to conduct an unannounced Annual Required Inspection. LPA was greeted at the door by the licensee’s adult son Ismael who informed LPA that his mother was not home but would return around 9:00 AM. LPA provided a business card to Ismael and informed him that LPA would return.

On September 19, 2023, at approximately 9:00 AM Licensing Program Analyst (LPA) Paul Garcia arrived at the home to conduct an Annual Required Inspection and was meet by licensee Yolanda Gonzalez. Licensee is Spanish speaking and LPA Yesenia Fierro assisted with interpretation. LPA Garcia was informed that the licensee is tiered and would like to retire by surrendering her license. Licensee stated that she only provides care for one child from one family and does not plan on caring for additional children.

Licensee was advised to stated sign, date, and send her original license along with a note stating that she is surrendering her license to the Fresno Regional Office. Licensee stated she understood and will do so immediately.


End of report
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Paul Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2023
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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