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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503909487
Report Date: 11/05/2021
Date Signed: 11/05/2021 04:26:50 PM

Document Has Been Signed on 11/05/2021 04:26 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:DESIGNORI, MELISSA FAMILY CHILD CAREFACILITY NUMBER:
503909487
ADMINISTRATOR:DESIGNORI, MELISSAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 845-9730
CITY:OAKDALESTATE: CAZIP CODE:
95361
CAPACITY: 14TOTAL ENROLLED CHILDREN: 21CENSUS: 10DATE:
11/05/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Designori, MelissaTIME COMPLETED:
03:10 PM
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On 11/5/2021 Licensing Program Analyst (LPA), Roman Iglesias, conducted an unannounced case management Inspection and was met by Licensee, Melissa Designori. Also present was Staff #1 (S1). The purpose of today's visit was to inspect the backyard, in that the licensee had an in ground pool built over the summer. It should be noted that the in ground pool does not meet Title 22 requirements as the door does not self latch and their is a section were the fence is next to a small "hill" and can be climbed by a child which can be hazardous. The backyard is currently made inaccessible to children and will remain inaccessible until issues mentioned above are resolved.
SUPERVISORS NAME: Alice Juarez
LICENSING EVALUATOR NAME: Roman Iglesias
LICENSING EVALUATOR SIGNATURE: DATE: 11/05/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2021
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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