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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203910423
Report Date: 07/20/2022
Date Signed: 07/20/2022 09:31:33 AM

Document Has Been Signed on 07/20/2022 09:31 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SANTOS, ANDREA FAMILY CHILD CAREFACILITY NUMBER:
203910423
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 4DATE:
07/20/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Andrea SantosTIME COMPLETED:
10:00 AM
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On 7/20/22 Licensing Program Analyst (LPA) Caroline Harris conducted a Plan of Correction inspection. LPA met with licensee, Andrea Santos and her assistant, Belen Herrera who helped interpret. A census was taken and there were four day care children.

The purpose of the inspection is to clear deficiencies that were cited on 6/28/22. LPA reviewed children's files and observed all required licensing forms to be complete and in the files. LPA also observed off limits room to be closed and have locks or door spinners on them. The licensee and her assistant watched the training video, "Locks and Inaccessibility Requirements in Child Care" and had a statement available, of what those requirements are. All required forms were posted up on the parent board. The licensee also had proof of immunizations for MMR and T-Dap and the licensee and her assistant completed the Mandated Reporter training. The LPA further observed the licensee to have padding under the back yard play structure.

During today’s inspection, LPA provided a Letter of Deficiency Citations Cleared. Exit interview was conducted with Andrea Santos. Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiency was cited during today’s inspection.

A copy of this report and LIC 9213 Notice of Site Inspection were provided to the licensee, Andrea Santos. This report shall be made available to the public upon request. LIC 9213 Notice of Site Inspection is required to be posted for 30 days.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2022
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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