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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543805484
Report Date: 09/12/2024
Date Signed: 09/12/2024 10:45:01 AM

Document Has Been Signed on 09/12/2024 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 SOUTH CC RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:NANCY'S DAY CAREFACILITY NUMBER:
543805484
ADMINISTRATOR/
DIRECTOR:		SILVA, NANCYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 686-4066
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY: 14TOTAL ENROLLED CHILDREN: 7CENSUS: 6DATE:
09/12/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Nancy SilvaTIME VISIT/
INSPECTION COMPLETED:
11:20 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 09/12/2024, Licensing Program Analysts (LPA) Behatriz Gonzalez conducted an unannounced Case Management – Incident Inspection. LPA met with Licensee, Nancy Silva. LPA toured the facility and took a census. The purpose of today's inspection was to follow-up on an unusual incident that was reported to Community Care Licensing (CCL) on 8/16/2024. The incident reported was regarding child who was fixing his shoe and fell on his face causing his gums to bleed.

During today's inspection, LPA Gonzalez interviewed licensee who was present during the incident. The Unusual Incident was regarding child who got up from finishing his lunch walked to circle time area where he was the only child. While he was fixing his shoe he fell forward causing his gums to bleed. Licensee iced the area called mom. He was seen by his pediatrician and Dentist and was told he was fine.

LPA observed the area where the incident happened and there was nothing that could have been of harm.

Per California Code of Regulations, Title 22, Division 12, no deficiency cited.

Site Visit Notice to be posted on the parent board. Exit interview was conducted with Licensee, Nancy Silva

SUPERVISORS NAME: Scott Herring
LICENSING EVALUATOR NAME: Behatriz Gonzalez
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2024
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