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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543909521
Report Date: 07/10/2024
Date Signed: 07/10/2024 10:36:18 AM

Document Has Been Signed on 07/10/2024 10:36 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, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:RODRIGUEZ, LETICIA FAMILY CHILD CAREFACILITY NUMBER:
543909521
ADMINISTRATOR/
DIRECTOR:		RODRIGUEZ, LETICIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 736-6505
CITY:VISALIASTATE: CAZIP CODE:
93277
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
07/10/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Leticia RodriguezTIME VISIT/
INSPECTION COMPLETED:
10:40 AM
NARRATIVE
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On 07/10/2024, Licensing Program Analyst (LPA) Lady Cabrera conducted an unannounced case management inspection and was met by Licensee Leticia Rodriguez. Licensee is Spanish Speaking.

During today’s inspection, LPA went over the Guardian Background Check System roster and Licensee stated Adult 1 is in the home and Adult 1 has been living in the home. A civil penalty is being assessed today due to Adult 1 is residing in the home for approximately four years without a criminal record clearance. LPA review 102370 Criminal Record Clearance regulation.



Licensee reported day care is closed from 7/4/2024-7/22/2024. There were no day care children present during today's visit.

Exit interview conducted and report was reviewed with Licensee Leticia Rodriguez.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, the following deficiency is being cited. Licensee was provided appeal rights.

Upon receipt of a Type A violation, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to Licensee Leticia Rodriguez.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE: DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/10/2024
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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Document Has Been Signed on 07/10/2024 10:36 AM - It Cannot Be Edited


Created By: Lady Cabrera On 07/10/2024 at 09:48 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1310 E. SHAW AVE,
FRESNO, CA 93710

FACILITY NAME: RODRIGUEZ, LETICIA FAMILY CHILD CARE
FACILITY NUMBER: 543909521

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/11/2024
Section Cited
CCR
102370(d)(1)

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102370(d) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing...(1) Obtain a California clearance or a criminal record exemption as required by the Department...

This requirement is not met as evidenced by:
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Licensee was provided a blank Live Scan LIC9163 and will have Adult 1 complete Live Scan by 07/11/2024.
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Based on interview, the licensee did not comply with the section cited above. Licensee confirmed Adult 1 is living in the home for approximately 4 years, which poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Luisa Gavoutian
LICENSING EVALUATOR NAME:Lady Cabrera
LICENSING EVALUATOR SIGNATURE:
DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/10/2024


LIC809 (FAS) - (06/04)
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