<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 163911682
Report Date: 03/20/2025
Date Signed: 03/20/2025 12:03:17 PM

Document Has Been Signed on 03/20/2025 12:03 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:REBOLLEDO, YADIRA FAMILY CHILD CAREFACILITY NUMBER:
163911682
ADMINISTRATOR/
DIRECTOR:		REBOLLEDO, YADIRAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 383-4082
CITY:AVENALSTATE: CAZIP CODE:
93204
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/20/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Yadira RebolledoTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/20/2025, Licensing Program Analyst (LPA) Lady Cabrera conducted an unannounced case management inspection. LPA Cabrera met with Licensee Yadira Rebolledo and also Licensee's assistant was present. Upon arrival, a census was taken, and LPA toured the facility inside and outside. This visit was initiated by Yadira Rebolledo regarding the installation of a new play structure.

LPA inspected the front yard play structure and observed that the recommended age use is for children ages three (3) years old – seven (7) years of age. LPA observed were two attached swings and a slide. LPA observed that the play structure was not properly anchored and was unstable. LPA did not approve the play structure at the time of the visit. Licensee will contact LPA for an inspection once the structure is properly anchored and stable.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations no deficiencies are observed today.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1