<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 243912348
Report Date: 06/24/2024
Date Signed: 06/24/2024 10:35:54 AM

Document Has Been Signed on 06/24/2024 10:35 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:JIMENEZ, DONNA FAMILY CHILD CAREFACILITY NUMBER:
243912348
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
06/24/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Donna JimenezTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 06/24/2024, a second announced pre-licensing inspection was conducted today by Licensing Program Analyst (LPA), Jeovanna Yanez. Met with Applicant, Donna Jimenez. Applicant and her husband reside in the home.

The purpose of today's inspection is to verify that the following corrections requested were made. LPA observed the following corrections during today's inspection:
· Applicant made bedroom #2 and laundry room inaccessible to daycare children via key lock and/or safety latch.
· Applicant barricaded the in-ground pool with a five (5) foot black mesh fence that meets Title 22 Regulations. There is a gate that is self-latching/self-closing, swings away from the pool and latching device is located no more than six inches from the top of the gate.
· Applicant removed the following: grills, propane tanks, piles of wood, wooden planks, and other potential hazards located in the backyard

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 June 25, 2024.



Planned hours of operation are Monday through Friday from 6:00 am to 11:00 pm and as arranged. Overnight care will be provided.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1