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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911801
Report Date: 02/20/2025
Date Signed: 02/26/2025 06:53:39 PM

Document Has Been Signed on 02/26/2025 06:53 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/
DIRECTOR:		HARO LOPEZ, ALICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 819-0506
CITY:MERCEDSTATE: CAZIP CODE:
95341
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 0DATE:
02/20/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Alicia HaroTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On February 20, 2025, Licensing Program Analyst (LPA) Yesenia Fierro conducted an unannounced Case Management - Licensee Initiated, LPA met with Licensee Alicia Haro. A tour of the facility was given, and a census was taken, during today’s inspection there were zero (0) children in care.

The purpose of the visit was to provide technical assistance with unusual incidents reporting requirements, IMS, children and staff records, and with the CCLD website and the training's that are available.

Per Title 22 Division 12 Chapter 3 of the California Code of Regulations no deficiencies are being cited today.
Report was read and exit interview was conducted with Licensee Alicia Haro. Notice of Site was provided and must be posted for thirty days.
SUPERVISORS NAME: Kari McWilliams
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
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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