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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503903750
Report Date: 12/05/2023
Date Signed: 12/05/2023 11:58:29 AM

Document Has Been Signed on 12/05/2023 11:58 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:GUEVARA, OFELIA FAMILY CHILD CAREFACILITY NUMBER:
503903750
ADMINISTRATOR:GUEVARA, OFELIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 894-7863
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
12/05/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Ofelia GuevaraTIME COMPLETED:
12:00 PM
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On December 5, 2023, at 11:00 AM, a Noncompliance Conference (NCC) was conducted at the Fresno Regional Child Care Office to discuss violations of Title 22 Regulations that govern Family Child Care Home license.

In attendance at this office were Licensee, Ofelia Guevara, Fresno Child Care Regional Manager (RM) Rebecca Varela, Licensing Program Managers (LPMs) Cynthia Brannon and Juvenal Moctezuma and Licensing Program Analyst (LPA) Anita Tristan.

During today’s office visit, a copy of the NCC and Acknowledgement of Receipt of Licensing Reports (LIC9224) was provided to Licensee.

No deficiency was cited during today’s office visit. An exit interview was conducted with Licensee, Ofelia Guevara.

A copy of this report is to remain in the facility for public review. This report shall be made available to the public upon request.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Anita Tristan
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2023
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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