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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163911561
Report Date: 09/23/2021
Date Signed: 09/23/2021 09:59:28 AM

Document Has Been Signed on 09/23/2021 09:59 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:PEREZ GARCIA, YULIANA FAMILY CHILD CAREFACILITY NUMBER:
163911561
ADMINISTRATOR:PEREZ GARCIA, YULIANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 663-7997
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY: 14TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
09/23/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Yuliana Perez Garcia (SPANISH SPEAKING)TIME COMPLETED:
10:15 AM
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On 09/23/2021 A planned second Prelicensing inspection was made today by Licensing Program Analysts (LPAs) Rene Mancinas and Diane Mercado, who met with Applicant Yuliana Perez Garcia. A tour of the home, inside and outside, as shown on the facility sketch was done. Purpose of the inspection was to ensure the following correction(s) were made:

1 Before Licensure the following items are to be corrected to avoid the application form being withdrawn:

Before Licensure the following items are to be corrected to avoid the application form being withdrawn:

1. Applicant needs to bring her in-ground swimming pool fence within title 22 regulation regarding accessible bodies of water. Currently there are gaps/opening greater than 4 inches. Currently there is no self-closing/self latching gate. Lastly there are section of her pool fencing that are not at the minimum five feet high requirement.

Above corrections were made and verified during today’s inspection, bringing facility into compliance.

Pending verification of corrections and a final review of your application, licensure as a Small Family Child Care Home capacity of eight children* ages under 18 years, will be recommended effective 09/24/2021. Planned hours of operation are Monday through Friday from 7:00AM - 6:00PM.

A copy of this report is to remain in the facility for public review.
This report shall be made available to the public upon request.
To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Rene Mancinas
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2021
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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