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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503911913
Report Date: 02/02/2023
Date Signed: 02/02/2023 11:16:31 AM

Document Has Been Signed on 02/02/2023 11:16 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:MESSINA, MARCELINA FAMILY CHILD CAREFACILITY NUMBER:
503911913
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
02/02/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Marcelina MessinaTIME COMPLETED:
11:30 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 02/02/2023, an office meeting was conducted at the Fresno Regional Child Care Office. In attendance during this meeting was Regional Manager, Rebecca Varela, Licensing Program Manager, Rene Mancinas, Licensing Program Analyst, Jeovanna Yanez, and applicant, Marcelina Messina. The purpose of the meeting was to discuss pending Family Child Care Home application status and an incident that occurred on 11/08/2020.

It is the mission of the Community Care Licensing Division, Child Care Program to ensure the health, safety, and personal rights of children in care are being safeguarded. The mission is met through consultative, preventive, and enforcement actions, including ensuring applicants have a thorough understanding of licensing requirements and California’s Health & Safety Codes and Title 22 Regulations pertaining to licensed child care facilities.

Applicant understands all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance. Applicant also understands the requirement for applicant and all other persons residing in the home to be of reputable and responsible character. This requirement is satisfied in part, with the obtaining of a criminal record clearance.

Applicant was provided with information and resources available on the Community Care Licensing Website www.ccld.ca.gov , which provides access to Provider Information Notices (PINs), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poising Facts, forms, and regulations.

(CONTINUED ON 809-C)
SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: MESSINA, MARCELINA FAMILY CHILD CARE
FACILITY NUMBER: 503911913
VISIT DATE: 02/02/2023
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
26
27
28
29
30
31
32
Applicant agrees to comply with licensing requirements, including maintaining compliance with California’s Health & Safety Codes and Title 22 Regulations pertaining to licensed child care facilities.

Application for a Small Family Child Care Home License, capacity of 8, is pending final review. Applicant will be contacted to advise of application status.
SUPERVISORS NAME: Rene Mancinas
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2