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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503910885
Report Date: 06/20/2024
Date Signed: 06/20/2024 08:56:13 AM

Document Has Been Signed on 06/20/2024 08:56 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:ABALOS, ZENY & CALIMQUIM, RANDY FAMILY CHILD CAREFACILITY NUMBER:
503910885
ADMINISTRATOR/
DIRECTOR:		ABALOS,ZENY/CALIMQUIN,RANDFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 585-9789
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 1DATE:
06/20/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:00 AM
MET WITH:Zeny AbalosTIME VISIT/
INSPECTION COMPLETED:
09:15 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 June 20,2024, Licensing Program Analyst Yesenia Fierro, conducted an unannounced Plan of Correction Visit. LPA was met by LIcensee Zeny Abalos also present was staff #1.

During todays visit LPA verified the completion of CPR training for LIcensee's Randy Calimquim and Zeny Abalos. Licensee also provided LPA a written statement acknowledging that all adults living or working in the home must be finger printed. LPA Fierro cleared POC from June 6, 2024 visit. LPA also verified that LIC 9052 was completed for staff #1. Licensee advised LPA that she needs to change her last name to her married name. LPA provided Licensee with a LIC 279.

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

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Zeny Abalos

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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