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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911801
Report Date: 02/26/2024
Date Signed: 02/27/2024 01:56:45 PM

Document Has Been Signed on 02/27/2024 01:56 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:HARO LOPEZ, ALICIA FAMILY CHILD CAREFACILITY NUMBER:
243911801
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 6CENSUS: 3DATE:
02/26/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
12:56 PM
MET WITH:Alicia HaroTIME COMPLETED:
01:45 PM
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On 02/26/2024 Licensing Program Analyst (LPA) Yesenia Fierro, conducted an unannounced licensee Case Management Inspection. Today, LPA Yesenia Fierro was met by Licensee, Alicia Haro and toured the home and a census was taken. During today’s visit there were three (3) in care, who at the time of the visit were doing free play. The purpose of today's inspection was to update Facility Sketch LIC 999A. Licensee contacted LPA to inform them that they would like to make bedroom #3 accessible to children in care.

On today’s inspection, LPA Fierro observed bedroom 3 to be safe and clear of any safety hazards. LPA Fierro observed a play pin, children size sofas, play equipment, and age-appropriate toys. Bedroom #3 will be accessible to children in care as of 2/26/2024. Licensee updated Facility Sketch LIC 999A and LPA obtained a copy.

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

Licensee was provided a copy of appeal rights.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Licensee Alicia Haro.

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2024
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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