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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503912120
Report Date: 03/05/2024
Date Signed: 03/18/2024 08:12:11 PM

Document Has Been Signed on 03/18/2024 08:12 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:MORENO, MARLENE FAMILY CHILD CAREFACILITY NUMBER:
503912120
ADMINISTRATOR:MORENO, MARLENEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(209) 605-6899
CITY:TURLOCKSTATE: CAZIP CODE:
95380
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 2DATE:
03/05/2024
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Marlene MorenoTIME COMPLETED:
10:00 AM
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On 03/5/2024 Licensing Program Analyst (LPA) Yesenia Fierro conducted an unannounced case management – post op inspection and was met by Licensee, Marlene Moreno. LPA explained the reason for the visit. LPA confirmed days and hours of operation are Monday through Friday from 7:00 a.m.-5:00 p.m. The home has a working telephone service and LPA confirmed the phone number is (209) 648-6026. All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

This is a single-story home, licensee confirmed care and supervision are provided in the daycare room, hallway bathroom, backyard, and front yard. All other rooms are made inaccessible by use door spinners and safety latches. The fireplace located in the living room is made inaccessible by a glass door. Licensee stated fireplace is not used during childcare hours. LPA observed a working fire extinguisher, smoke detector, and carbon monoxide indicator. Licensee stated there is one (1) small dog in the home. Licensee understand the liability of pets around day care children and accepts responsibilities of any action taken by pets. Licensee stated there are firearms/ammunition on the premises. LPA confirmed firearms and ammunition are locked and stored separately in accordance with Title 22 Regulations. LPA observed there is an in-ground pool that is fenced with 5 ft. black mesh fencing, in accordance with Title 22 Regulations. The gate is self-latching/self-closing, swings away from the pool and latching device is located no more than six inches from the top of the gate.

During today’s visit LPA observed the home to be safe and clean. LPA observed 2 infant cribs, 1 swing, 2 highchairs, 1 stroller and age-appropriate toys and play equipment, areas accessible to the child are in serviceable conditions. No potential risks to the health and safety of daycare children were observed.

CON'T 809-C

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: MORENO, MARLENE FAMILY CHILD CARE
FACILITY NUMBER: 503912120
VISIT DATE: 03/05/2024
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LPA reviewed Licensee and children's records during today's inspection, records reviewed were complete with all required licensing documentation.

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



This report shall be made available to the public upon request. LIC 9213 notice of site visit form is required to be posted for 30 days.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Yesenia Fierro
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
LIC809 (FAS) - (06/04)
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