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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911586
Report Date: 11/02/2021
Date Signed: 11/02/2021 11:53:05 AM

Document Has Been Signed on 11/02/2021 11:53 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:ESTRADA, ERICKA FAMILY CHILD CAREFACILITY NUMBER:
243911586
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
11/02/2021
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Ericka EstradaTIME COMPLETED:
12:15 PM
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A second announced pre-licensing inspection was conducted today by Licensing Program Analyst (LPA), Norma Lomeli. Met with Applicant, Ericka Estrada. Applicant, her husband, her adult brother and six minor children reside in the home. The purpose of today's inspection is to inspect the following corrections were made.
  • During today's inspection, LPA observed two windows that had direct access to the in-ground pool have been blocked. Applicant observed black rod iron fencing that meets Title 22 Regulations and barricades the in-ground pool to prevent access from the two windows.
  • LPA observed that one pool gate is self-closing/self-latching. Applicant states that the second pool gate will be kept locked during day care hours.
  • Applicant obtained a functioning smoke alarm. Applicant tested the smoke alarm during inspection.


Licensure as a Small Family Day Care Home capacity of 8 children will be recommended effective November 3, 2021.

* Planned hours of operation are Monday through Friday from 6:00AM to 6:00PM.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Norma Lomeli
LICENSING EVALUATOR SIGNATURE: DATE: 11/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/02/2021
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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