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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503911192
Report Date: 03/13/2024
Date Signed: 03/13/2024 01:00:50 PM

Document Has Been Signed on 03/13/2024 01:00 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
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:TAPIA, CARMEN FAMILY CHILD CAREFACILITY NUMBER:
503911192
ADMINISTRATOR:TAPIA, CARMENFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 422-3909
CITY:MODESTOSTATE: CAZIP CODE:
95355
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
03/13/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Carmen TapiaTIME COMPLETED:
01:30 PM
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 03/13/2024, an unannounced Case Management inspection was conducted today by Licensing Program Analyst (LPA), Valerie Mireles. LPA met with Licensee, Carmen Tapia. The purpose of this inspection was to discuss the accessible bedroom in the home, as the licensee intends to revise her facility floor plan, making bedroom #1 inaccessible moving forward. Licensee is making bedroom #1 inaccessible to the day care children by use of locking the bedroom door during daycare hours.

LPA inspected the facility and advised the licensee of the documentation required to implement the proposed change. The guest living room, bedroom #2 (naproom), guest bathroom, and family living room are used for providing care and are accessible to children. All other rooms are off-limits and made inaccessible by use of safety gates and locked doors. The kitchen is made inaccessible by safety gates.

Hours or operation remain Monday through Friday from 5:30 p.m. to 5:30 p.m.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiency is being cited during today's visit. LIC 9213 Notice Of Site visit form was provided to Licensee and is required to be posted for 30 days. This report shall be made available to the public upon request.

SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Valerie Mireles
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2024
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