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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911930
Report Date: 04/15/2024
Date Signed: 04/15/2024 10:49:58 AM

Document Has Been Signed on 04/15/2024 10:49 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:MUNOZ JAIME, SANDRA FAMILY CHILD CAREFACILITY NUMBER:
243911930
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 2DATE:
04/15/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:31 AM
MET WITH:Sandra Munoz JaimeTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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On 04/15/2024 Licensing Program Analyst (LPA) Yesenia Fierro conducted an unannounced case management – inspection and was met by Licensee, Sandra Jaime-Munoz. During today’s inspection there were 2 children in care.

The reason for today’s inspection was to clear a POC. Licensee confirmed the playroom, living room, dining room, hallway bathroom, and kitchen are accessible to children. LPA conducted an inspection of the licensee’s garage. LPA did not observe any play equipment, children furniture, changing table or any sign that licensee is providing care in the garage.

LPA reminded licensee that any changes to her facility sketch needs to be approved by Community Care Licensing (CCL) before it is made accessible to children. Licensee stated she understood.

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

This report shall be made available to the public upon request. LIC 9213 notice of site visit form is required to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 04/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/15/2024
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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