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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 503912279
Report Date: 07/03/2024
Date Signed: 07/03/2024 11:17:01 AM

Document Has Been Signed on 07/03/2024 11:17 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:LOPEZ, ADRIANA FAMILY CHILD CAREFACILITY NUMBER:
503912279
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 1DATE:
07/03/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:15 AM
MET WITH:Adriana LopezTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
NARRATIVE
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An unannounced Case Management Inspection was made at this Family Child Care Home by
Licensing Program Analyst (LPA) Aurelio Mendoza today, Wednesday, July 3rd, 2024. LPA Aurelio Mendoza met with Licensee Adriana Lopez, who accompanied LPA Aurelio Mendoza during a tour of the facility both inside and outside. LPA Aurelio Mendoza explained the purpose for the inspection and a census was taken.

This Case Management Inspection was conducted after LPA Aurelio Mendoza received a phone call from Licensee Adriana Lopez stating that she had repaired the facility’s backyard fence and wanted it inspected for approval so that the backyard could be made accessible for children in care.

During today's inspection, LPA Aurelio Mendoza viewed that the fence was in good repair. LPA Aurelio Mendoza approves the backyard to be used by day care children; today, in the condition that the fence is in, it is within Title 22 Regulations compliance.

Per the California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency has been cited during today’s inspection. Licensee Adriana Lopez was provided a copy of Appeal Rights. A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Licensee Adriana Lopez
SUPERVISORS NAME: Cynthia Brannon
LICENSING EVALUATOR NAME: Aurelio Mendoza
LICENSING EVALUATOR SIGNATURE: DATE: 07/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/03/2024
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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