<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911412
Report Date: 04/16/2024
Date Signed: 04/16/2024 10:45:45 AM

Document Has Been Signed on 04/16/2024 10:45 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 RO, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GARCIA, PAULA FAMILY CHILD CAREFACILITY NUMBER:
543911412
ADMINISTRATOR/
DIRECTOR:		GARCIA, PAULAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 920-3763
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
04/16/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Paula GarciaTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 4/16/2024, Licensing Program Analyst (LPA) Claribel Soto conducted a Case Management Incident inspection. LPA met with Licensee, Paula Garcia, informing her of the reason for the inspection. LPA toured the facility, and a census was taken.

Information was received by the Fresno Community Care Licensing Office regarding concerns with safe sleep regulations. The purpose of today’s inspection was to review safe sleep regulations and inspect sleeping area. LPA went over the safe sleep regulations and provided licensee with a copy of the LIC 9227, 15- minute sleeping log and useful information for providers handout. LPA observed three empty play yards with only a fitted sheet. Licensee stated she understands the safe sleep regulations and if she has any questions or concerns, she will contact the Regional Office.

Based on the information obtained, LPA determined facility took appropriate measures to address the concerns with the safe sleep regulations, and regulations were not violated.



Per California Code of Regulations Title 22, Division 12, Chapter 3, no deficiency was cited during today's visit. An exit interview was conducted with Licensee, Paula Garcia.
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Claribel Soto
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1