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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 545620043
Report Date: 01/24/2023
Date Signed: 01/24/2023 02:33:02 PM

Document Has Been Signed on 01/24/2023 02:33 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:TOVAR MEZA, LARIA FAMILY CHILD CAREFACILITY NUMBER:
545620043
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 2CENSUS: 2DATE:
01/24/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Laria Tovar Meza- LicenseeTIME COMPLETED:
02:50 PM
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On 1/24/23, an unannounced Case Management inspection was conducted by Licensing Program Analysts (LPA) Jessika Thompson & Denisia Jimenez. LPAs met with Licensee Laria Tovar Meza. Licensee is primarily Spanish speaking; therefore, LPA Jimenez provided translation services. Facility is operating Monday through Friday, from 7:00 AM to 5:00 PM with two children currently enrolled. The purpose of today's inspection was to conduct a post licensing follow-up on the initial pre-licensing inspection that took place on 11/07/22. A tour of the facility was made and LPAs confirmed that accessible areas of the home are the living room, bedroom #1, bedroom #2 (day care room), and hallway bathroom. Off-limit areas are made inaccessible by use of spinning door knob covers and locked doors. There are no bodies of water or weapons at this residence. Children's files were reviewed and LPA discussed with licensee the requirement of maintaining a Children’s Roster (LIC9040) and completing fire and disaster drills every six months. Required forms are posted. Safe sleep regulations were discussed.

Provider Information Notices were discussed, and licensee is aware that forms and updated information may be obtained on the Department's website (www.ccld.ca.gov). LPAs discussed Required 1-Year inspections with the licensee, detailing what to expect. Reporting requirements were discussed and Licensee understands that unusual incidents must be reported the Fresno Community Care Licensing office during the Department's normal business hours, before the close of the next working day following the occurrence.

Incidental Medical Services (IMS) policy were discussed. Currently, Licensee does not have any children enrolled requiring IMS. Licensee understand that if/when any IMS is provided, a Plan for Providing IMS must be submitted to the Department.

Per California Code of Regulations, Title 22, Division 12, Chapter 3, no deficiencies were cited today. An exit interview was conducted with Licensee and appeal rights were provided.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Jessika Thompson
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2023
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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