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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203911867
Report Date: 09/08/2023
Date Signed: 09/08/2023 11:59:58 AM

Document Has Been Signed on 09/08/2023 11:59 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
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:SALAS, INOCENCIA FAMILY CHILD CAREFACILITY NUMBER:
203911867
ADMINISTRATOR:SALAS, INOCENCIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 430-8585
CITY:MADERASTATE: CAZIP CODE:
93638
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
09/08/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:21 AM
MET WITH:Inocencia SalasTIME COMPLETED:
12:10 PM
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On September 8, 2023, Licensing Program Analyst Stephanie Vega-Gonzalez & Licensing Program Manager Juvenal Moctezuma conducted an unannounced Case Management – Other Inspection. LPA met with licensee Inocencia Salas & daughter who were caring for 5 children. Licensees spouse was in the backyard doing yard work. LPA explained the reason of the inspection and a tour of the home was conducted both inside and outside.

During today’s inspection LPA spoke about best practices with licensee in regards to different customs, traditions, cultures, and lifestyles. Licensee indicated that when dealing with children with difficult behaviors, she gets down to their level and speaks to them calmly. She has constant communication with the parents and will try to care for all children as long as she’s able to. Licensee indicated that she is respectful towards all children and parents and respects their different adversities. Licensee indicated that she has not had any issues with any parents or children in care.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Exit interview conducted and report was reviewed with licensee Inocencia Salas, During the exit interview, the licensee Inocencia Salas confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.

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

Licensee Inocencia Salas was provided appeal rights.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Stephanie Vega-Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2023
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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