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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911045
Report Date: 12/12/2022
Date Signed: 12/12/2022 11:01:40 AM

Document Has Been Signed on 12/12/2022 11:01 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:LUNA, MARLENE FAMILY CHILD CAREFACILITY NUMBER:
543911045
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 2DATE:
12/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Marlene LunaTIME COMPLETED:
11:15 AM
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On December 12, 2022 Licensing Program Analyst (LPA) Kari McWilliams completed an announced case management visit and met with Licensee Marlene Luna. The purpose of todays inspection was Licensee requested due to Licensee requesting to be able to utilize the addition of a detached room to provide care and supervision to children in her day care. A tour of the facility was completed and a census was taken.

LPA confirmed that the detached room and the restroom inside the detached room were complete with permits and a final inspection was completed by the city. Licensee confirmed that the detached room as well as the kitchen, living room and restroom inside the home would be used for providing care and supervision to children in care; all other rooms are made inaccessible by use of child safety devices.

LPA McWilliams inspected the detached room and observed that all of the unused outlets had covers, the room was clean and in good repair. LPA observed that there are age appropriate toys, a restroom for children to use and that there are no hazards to children in care.

LPA McWilliams obtained an updated facility sketch with the additional room included as well as proof of the inspections for the room.

Exit interview was conducted with Licensee Marlene Luna.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

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: Kari McWilliams
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2022
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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