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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911259
Report Date: 09/29/2021
Date Signed: 09/29/2021 10:13:06 AM

Document Has Been Signed on 09/29/2021 10:13 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
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:REYES, NATIVIDAD FAMILY CHILD CAREFACILITY NUMBER:
243911259
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
09/29/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Natividad Reyes - LicenseeTIME COMPLETED:
10:15 AM
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On 9/29/21 Licensing Program Analyst (LPA), Joseph Pacheco conducted an unannounced Case Management Inspection. The Family Child Care Home was closed on this day. Only Licensee's child was present during today's inspection. LPA explained that the purpose of the inspection was to review the backyard which Licensee would like to make accessible to children in care. LPA and Licensee toured the backyard. LPA observed the backyard to be in a condition which was not ready for children in care to use. LPA provided Licensee with Technical Assistance regarding what steps need to be taken to get the backyard ready for day care use. A return inspection will be needed once the backyard is ready to be used by day care children. Licensee's backyard will remain inaccessible to children in care at this time.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.
SUPERVISORS NAME: Diana deLeon
LICENSING EVALUATOR NAME: Joseph Pacheco
LICENSING EVALUATOR SIGNATURE: DATE: 09/29/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/29/2021
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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