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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 543911511
Report Date: 08/15/2023
Date Signed: 08/15/2023 01:29:40 PM

Document Has Been Signed on 08/15/2023 01:29 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:RUIZ, HEATHER FAMILY CHILD CAREFACILITY NUMBER:
543911511
ADMINISTRATOR:RUIZ, HEATHERFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(760) 214-2652
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 4DATE:
08/15/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Heather RuizTIME COMPLETED:
01:45 PM
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On 08/15/2023, Licensing Program Analysts (LPAs) Nancy Her and Claribel Soto conducted an unannounced case management inspection at the facility. LPAs met with Licensee, Heather Ruiz, to discuss an incident. A complete file review was conducted prior to visit. LPAs toured facility, took a census and interviewed Licensee.

On 08/09/2023 concerns were reported to Fresno Community Care Licensing regarding supervision. LPAs discussed regulations and concerns with Licensee. Licensee employs an assistant and stated that there is supervision. Licensee has a kitchen that is inaccessible to children, however there is an open doorway as well as an open window where Licensee can look and hear children while cooking.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.
Exit interview conducted and report was reviewed with the facility representative Heather Ruiz.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Duane Matsubara
LICENSING EVALUATOR NAME: Nancy Her
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2023
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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