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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503912191
Report Date: 03/12/2024
Date Signed: 03/12/2024 10:45:47 AM

Document Has Been Signed on 03/12/2024 10:45 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:AMEZQUITA, MARIA FAMILY CHILD CAREFACILITY NUMBER:
503912191
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/12/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maria AmezquitaTIME COMPLETED:
11:00 AM
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On 03/12/2024, A second announced pre-licensing inspection was conducted today by Licensing Program Analysts (LPAs), Jeovanna Yanez and Christopher Burnias. Met with Applicant, Maria Amezquita. Applicant, her husband, and her adult daughter reside in the home.

The purpose of today's inspection is to verify that the following corrections requested were made. LPA observed the following correction during today's inspection:
· Applicant made bedroom #1, bedroom #2, storage closet and garage inaccessible to daycare children. LPA inspected master bedroom today and approved for daycare use.
· Applicant made inaccessible the following items: batteries, medications, knives, cleaning products, "keep out of reach of children" products, and other potential items from bathroom and/or kitchen drawers via safety latches.
· Applicant stored poisons under key lock in the garage.
· Applicant stored firearms and ammunition in accordance to Title 22 Regulations.
· Applicant made the above-ground pool and small fish pond located in the backyard with five (5) foot black mesh fencing in accordance with Title 22 Regulations. The gate is self-latching/self-closing, swing away from the pool and latching device is located no more than six inches from the top of the gate.
· Applicant will made the following inaccessible: two propane tanks, gardening products, tools, and other potential hazards located in the backyard via child safety gate.

(CONTINUED ON 809-C)

SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2024
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: AMEZQUITA, MARIA FAMILY CHILD CARE
FACILITY NUMBER: 503912191
VISIT DATE: 03/12/2024
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The home meets the description of a safe and healthy environment for children as described in Chapter 3, Division 12, Title 22 of the California Code of Regulations and is adequate for a Small Family Day Care Home (SFDCH). Licensure as a Small Family Day Care Home capacity of 8 children will be recommended effective March 13, 2024.

Planned hours of operation are Monday through Saturday from 8:00 am to 8:00 pm and as arranged. No overnight care will be provided.
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Jeovanna Yanez
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
LIC809 (FAS) - (06/04)
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