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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503903750
Report Date: 08/16/2024
Date Signed: 08/16/2024 11:22:35 AM


Document Has Been Signed on 08/16/2024 11:22 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:14CENSUS: 8DATE:
08/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Ofelia GuevaraTIME COMPLETED:
12:04 PM
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On 08/16/2024 Licensing Program Analysts (LPAs) Anita Tristan and Valentin Hernandez conducted an unannounced Required- Case Management Inspection. LPAs met with Licensee, Ofelia Guevara. Also present was licensee’s assistant. LPAs took a census and toured the facility, inside and outside. LPAs observed 5 children playing in the front room with puzzles and toys and 3 children in the kitchen and living room area playing.

During today’s inspection LPAs went over adults living in the home, ratio, and reporting requirements, and updating the facility sketch. Licensee stated that she is no longer using the bedroom on the side of the kitchen and has made it inaccessible to children in care, room was made inaccessible by child proof lock. Licensee stated that she has not used the back yard due to weather. LPA’s inspected backyard, yard was in good clean and in good condition.

Exit interview conducted and report was reviewed with Licensee, Ofelia Guevara. Appeal rights were provided and discussed.

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

LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Cynthia BrannonTELEPHONE: (559) 650-7884
LICENSING EVALUATOR NAME: Anita TristanTELEPHONE: (559) 243-4588
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2024
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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