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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103801211
Report Date: 08/28/2023
Date Signed: 08/28/2023 04:07:53 PM

Document Has Been Signed on 08/28/2023 04:07 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:SELMA MIGRANT HEAD STARTFACILITY NUMBER:
103801211
ADMINISTRATOR:GARCIA, GILBERTFACILITY TYPE:
850
ADDRESS:12898 S. FOWLER AVENUETELEPHONE:
(559) 896-4479
CITY:SELMASTATE: CAZIP CODE:
93662
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 11DATE:
08/28/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:40 PM
MET WITH:Carmen CedenoTIME COMPLETED:
04:15 PM
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On 8/28/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Claribel Soto conducted an unannounced case management inspection for the purpose of inspecting a new shed in the accessible play yard. LPA toured the facility, and a census was taken. Today, LPA's met with head teacher Carmen Cedeno.

An updated sketch and written letter were submitted to the Department to formally notify the Department of the plans of obtaining a shed prior to installation. The storage shed measures approximately 120 sq feet and according to Department records the play yard measures 4,383.21 sq ft which after installing the shed, still exceeds the required amount of square footage for the current capacity of 45 children. Today, LPA’s inspected the shed and found that it was in safe/functioning condition and was approved for use.

LPAs conducted an exit interview with Head Teacher Carmen Cedeno. Per California Code of Regulations, Title 22, Division 12, Chapter 1, no deficiencies were cited as it pertained to the addition of this shed.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 08/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/28/2023
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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