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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 203911879
Report Date: 07/25/2023
Date Signed: 07/25/2023 12:39:09 PM

Document Has Been Signed on 07/25/2023 12:39 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:IBARRA, ELDA FAMILY CHILD CAREFACILITY NUMBER:
203911879
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
07/25/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Elda IbarraTIME COMPLETED:
12:45 PM
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On 7/25/2023 Licensing Program Analysts (LPAs), Anita Tristan and Gloria Reyes, conducted an announced Case Management- Licensee Initiated Inspection. LPAs met with Licensee, Elda Ibarra. LPAs toured the home inside and outside and no children were present during today's visit. The purpose of today's inspection was to inspect the inaccessibility of the above-ground pool in the backyard.

Swimming pool is fenced per regulation. Both sides of the pools gate self-latch and self-close. Pool gate does open away from the swimming pool. There are wrought iron bars on kitchen window that prevents direct access to the pool area. At time of inspection the pool was empty.

LPA’s reminded Licensee that the bars placed on the Kitchen window would prevent the facility from obtaining a fire clearance for a large day-care license.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiency is being cited.

Exit interview conducted with Licensee. Notice of Site Inspection to be posted for 30 days.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 07/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/25/2023
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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