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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243912011
Report Date: 02/07/2024
Date Signed: 02/20/2024 10:00:35 AM

Document Has Been Signed on 02/20/2024 10:00 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:FREGOSO,MAGDALENA/PULIDO-FREGOSO,STEPHANIE FCCFACILITY NUMBER:
243912011
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 7CENSUS: 5DATE:
02/07/2024
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Stephanie Pulido-FregosoTIME COMPLETED:
01:00 PM
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On 02/07/2024 Licensing Program Analyst (LPA) Yesenia Fierro conducted an unannounced case management – post op inspection and was met by Licensee, Stephanie Fregoso. LPA explained the reason for the visit. LPA confirmed days and hours of operation are Monday through Friday from 7:00 a.m.-6:00 p.m. The home has a working telephone service and LPA confirmed the phone number is (209) 445-0949. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

This is a two-story home, licensee confirmed care and supervision are provided in the downstairs living room, dining room, kitchen, hallway bathroom, playroom, and backyard. All other rooms are made inaccessible by use of bolted lock, and safety gates. LPA did not observe any fireplace and Licensee stated there is no fireplace in the home. LPA observed a working fire extinguisher, smoke detector, and carbon monoxide indicator. Licensee last conducted a fire drill on December 06, 2023. Licensee stated there are no firearms, ammunition, or bodies of water on the premises. LPA observed one (1) small dog. Licensee understands that she is responsible for any actions taken by the pet.

During today’s visit LPA observed the home to be safe and clean. Indoor and outdoor toys, play equipment, and areas accessible to the child are in serviceable conditions.

LPA reviewed Licensee and children's records during today's inspection, records reviewed were complete with all required licensing documentation.

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: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/07/2024
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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