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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 545620048
Report Date: 07/27/2023
Date Signed: 07/27/2023 03:26:12 PM


Document Has Been Signed on 07/27/2023 03:26 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:RODRIGUEZ, ELIZABETH FAMILY CHILD CAREFACILITY NUMBER:
545620048
ADMINISTRATOR:RODRIGUEZ, ELIZABETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 920-7216
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY:14CENSUS: 9DATE:
07/27/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Elizabeth RodriguezTIME COMPLETED:
03:40 PM
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On 7/27/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Pa Kou Vue conducted a case management inspection for the purpose of inspecting a newly renovated area and bathroom that licensee is requesting to use. LPA’s met with licensee Elizabeth Rodriguez today. LPA’s conducted a census and toured the facility.

Today, it was observed that the newly renovated area is a converted garage with an attached bathroom. The area however has not been completed as it is still in need of flooring and furniture. Currently, the licensee has obtained a building permit issued by the City of Porterville. Currently in the garage is recessed lighting, kitchenette, central heat and air and two ceiling fans. The area has three windows and an exit leading to the back yard. The garage is connected to the main home through a hall door and the children will enter to the converted garage through the main front door entrance. Licensee was advised that a fire inspection would have to be completed when the renovation was completed. LIC 9052 (Local Fire Inspection Authority) form was printed and provided to licensee.

After discussing the requirements, it was determined that LPA Ocegueda would make a return inspection after the renovation was completed and after the fire inspection was completed to ensure it is deemed safe and adequate to use by day care children. Licensee is currently not using the space and understands that areas not approved by the Department should not be used for care until they are approved.

Per Title 22, Division 12, Chapter 3 of the California Code of Regulations, no deficiencies are cited today. LC 9213 was provided to licensee and required to be posted for 30 days.

SUPERVISOR'S NAME: Susie FanningTELEPHONE: (559) 650-7890
LICENSING EVALUATOR NAME: Ruby OceguedaTELEPHONE: (559) 341-5808
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2023
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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