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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543906047
Report Date: 03/14/2025
Date Signed: 03/28/2025 11:31:47 AM

Document Has Been Signed on 03/28/2025 11:31 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:VELAZQUEZ, MARIA DEL FAMILY CHILD CAREFACILITY NUMBER:
543906047
ADMINISTRATOR/
DIRECTOR:		VELAZQUEZ, MARIA DELFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 740-8209
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 9DATE:
03/14/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Maria VelazquezTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On 03/14/2025 Licensing Program Analyst (LPA) Anita Tristan Conducted a Case Management inspection.
LPA with met with Licensee, Maria Velazquez and a census was taken. Also present was licensee’s assistant.
LPA informed licensee the purpose of the inspection was to discuss Adult #1 (A1) criminal clearance status with the Care Provider Management Branch (CPMB)

LPA Tristan went over the Case Closure letter with Licensee and ensured that A1 was not at the facility. Licensee stated that A1 does not live at the home.

LPA asked licensee if she received a copy of the Case Closure letter. Licensee stated she had received a copy. LPA informed licensee that the background clearance had not been approved and the background check had been closed. LPA informed licensee that in order to obtain A1’s clearance licensee would need to contact CCMB and start the application process over.

LPA provided licensee with a copy of the Case Closure letter.

LPA reminded licensee that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



Licensee understands failure to comply with the terms, and conditions may result in the Department taking further administrative action.

Exit interview conducted and report was reviewed with the Licensee, Maria Velazquez.



Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.
NAME OF LICENSING PROGRAM MANAGER: Luisa Gavoutian
NAME OF LICENSING PROGRAM ANALYST: Anita Tristan
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/14/2025
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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