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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 165620060
Report Date: 11/26/2024
Date Signed: 11/26/2024 11:29:11 AM

Document Has Been Signed on 11/26/2024 11:29 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RAYA, ROSENDA FAMILY CHILD CAREFACILITY NUMBER:
165620060
ADMINISTRATOR/
DIRECTOR:		RAYA, ROSENDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 836-0659
CITY:HANFORDSTATE: CAZIP CODE:
93230
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
11/26/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Rosenda RayaTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 11/26/2024 Licensing Program Analyst (LPA) Octavia Nolan conducted an unannounced case management inspection and met with Licensee Rosenda Raya and informed her of the purpose of the inspection. LPA toured the facility and a census was taken.

LPA Nolan went over the Decision and Order for Licensee's adult daughter and ensured that she was not currently at the facility. LPA provided a copy of the Decision and Order to the Licensee. LPA also provided Licensee with a LIC 995B to provide to parents and keep in child files.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Exit interview conducted and report was reviewed with the licensee Rosenda Raya.

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

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Gloria Reyes
LICENSING EVALUATOR NAME: Octavia Nolan
LICENSING EVALUATOR SIGNATURE: DATE: 11/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/26/2024
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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