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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543910381
Report Date: 02/01/2023
Date Signed: 02/03/2023 09:51:16 AM

Document Has Been Signed on 02/03/2023 09:51 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:FERNANDEZ, SILVIA FAMILY CHILD CAREFACILITY NUMBER:
543910381
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 0DATE:
02/01/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Silvia FernandezTIME COMPLETED:
04:30 PM
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On 2/1/2023, Licensing Program Analyst (LPA) Theresa Marquez conducted a Case Management inspection and met with license Silvia Fernandez. The purpose of this inspection is at Fernandez' request to include the family room that she had converted formerly her garage, to the license. The family room will be used for primary daycare use.

LPA Marquez toured the family room and the newly built bathroom that is included in the room. A fire extinguisher, smoke detector, and carbon monoxide detector are present and meet Community Care Licensing (CCL) regulations. Heating/cooling and ventilation was sufficient for safety and comfort. Licensee provided copies of building permits and a new facility sketch.

This day care room and adjacent bathroom meet the description of a safe and healthy environment for children.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations no deficiencies were observed today.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Theresa Marquez
LICENSING EVALUATOR SIGNATURE: DATE: 02/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/01/2023
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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