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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911083
Report Date: 06/28/2024
Date Signed: 06/28/2024 02:01:09 PM

Document Has Been Signed on 06/28/2024 02:01 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:SANCHEZ LOPEZ, DOLORES FAMILY CHILD CAREFACILITY NUMBER:
543911083
ADMINISTRATOR/
DIRECTOR:		SANCHEZ LOPEZ, DOLORESFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 556-4253
CITY:PIXLEYSTATE: CAZIP CODE:
93256
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 5DATE:
06/28/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Dolores Sanchez LopezTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 06/28/2024, an unannounced case management inspection was conducted by Licensing Program Analysts (LPAs) Kari McWilliams and Lady Cabrera. LPAs met with Licensee’s Teresa Sandoval. The purpose of today's inspection was to inspect the licensee's above ground pool that is in the backyard. LPAs toured the facility inside and out and a census was taken.

LPAs observed that the Licensee barricaded the above ground pool with mesh fence that is five feet or higher. LPAs observed that the pool gate is self-latching/self-closing, and swings away from the pool and the device is located no more than six inches from the top of the gate. LPAs informed Licensee she is in compliance with Title 22 regulatory requirements. LPAs advice Licensee she can fill the swimming pool with water and to monitor that there are no gaps between mesh fence and ground.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiency was cited. An exit interview conducted. A copy of this report was provided and discussed. A Notice of Site Visit Form was posted to parent's board and must remain posted for 30 days.
SUPERVISORS NAME: Luisa Gavoutian
LICENSING EVALUATOR NAME: Lady Cabrera
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2024
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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