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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243911965
Report Date: 02/23/2023
Date Signed: 02/23/2023 09:54:25 AM

Document Has Been Signed on 02/23/2023 09:54 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:CAMPOS-ZAVALA, HEIDY FAMILY CHILD CAREFACILITY NUMBER:
243911965
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/23/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Heidy Campos-ZavalaTIME COMPLETED:
10:00 AM
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On 02/23/2023, A second announced pre-licensing inspection was conducted today by Licensing Program Analysts (LPAs), Jeovanna Yanez and Yesenia Fierro. Met with Applicant, Heidy Campos-Zavala. Applicant, her husband, one minor child reside in the home.

The purpose of today's inspection is to verify that the following corrections requested were made. LPAs observed the following corrections during today's inspection:
· Applicant obtained a 3A40BC fire extinguisher.
· Applicant made the iron rod section of the fence swing away from the pool. LPA observed that the pool iron rod fencing height meets Title 22 Regulations. Applicant also made the 6ft wooden gate inoperable and cannot be opened or used as direct access to the pool. LPA observed the wooden gate to be bolted to additional wooden planks, preventing the gate from being opened.

The home meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of the California Code of Regulations and is adequate for a Small Family Day Care Home (SFDCH). Licensure as a Small Family Day Care Home capacity of 8 children will be recommended effective February 24, 2023.

Planned hours of operation are Monday through Friday from 7:00 am to 4:00 pm and as arranged. No overnight care will be provided.
SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 02/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/23/2023
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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