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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910336
Report Date: 07/27/2022
Date Signed: 07/27/2022 12:50:39 PM

Document Has Been Signed on 07/27/2022 12:50 PM - 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:PADILLA, GLORIA FAMILY CHILD CAREFACILITY NUMBER:
543910336
ADMINISTRATOR:PADILLA, GLORIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(562) 244-8746
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY: 14TOTAL ENROLLED CHILDREN: 3CENSUS: 3DATE:
07/27/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Gloria Padilla - Licensee TIME COMPLETED:
01:00 PM
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On 7/27/22, an unannounced Case Management - Plan of Correction (POC) Inspection was conducted by Licensing Program Analyst (LPA) Jessika Thompson. LPA met with Licensee Gloria Padilla (Spanish speaker) to review POCs associated to deficiencies cited on 5/04/22. Staff #2, who was also present, provided language translation services. Today, LPA verified the following:
  • Licensee completed and logged a fire & disaster drill on 5/9/2022
  • Licensee maintains Emergency Medical Information for children in care
  • Licensee maintains proof of immunization for children in care within the Family Child Care Home (FCCH)
  • Licensee maintains proof of measles, whooping cough and influenza immunization for herself and Staff #2 on file within the FCCH
  • Licensee maintains Individual Sleeping Plans for infant(s) in care

LPA cleared deficiencies on this date and provided licensee with a "Letter of Deficiency Citations Cleared." This letter must be filed in the facility for three years and upon request made accessible to the public for reviewed.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies were being cited today. Licensee 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 the licensee.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 07/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/27/2022
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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