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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 103901244
Report Date: 12/12/2022
Date Signed: 01/05/2023 02:21:33 PM

Document Has Been Signed on 01/05/2023 02:21 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-CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME:GARZA, ANGELINAFACILITY NUMBER:
103901244
ADMINISTRATOR:GARZA, ANGELINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(559) 875-8656
CITY:SANGERSTATE: CAZIP CODE:
93657
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 2DATE:
12/12/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Angelina GarzaTIME COMPLETED:
12:45 PM
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On 12/12/22 Licensing Program Analyst (LPA) Caroline Harris conducted a Plan of Correction inspection. LPA met with licensee, Angelina Garza and toured the home. A census was taken and there were two day care children present.

The purpose of the inspection is clear deficiencies that were previously cited on 8/23/22. The licensee had proof of fire drills, 15 minute checks for infants 0-2 years old, and had completed her Mandated Reporter training. The licensee further purchased tight fitting sheets for the infant pack and plays. The LPA inspected the kitchen and bathroom areas and observed keep out of reach items to be placed out of reach and the licensee further purchased new child proof locks.

During today’s inspection, LPA provided a Letter of Deficiency Citations Cleared. Exit interview was conducted with Angelina Garza. Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiency was cited during today’s inspection.

A copy of this report and LIC 9213 Notice of Site Inspection were provided to the licensee, Angelina Garza. This report shall be made available to the public upon request. LIC 9213 Notice of Site Inspection is required to be posted for 30 days.

To order forms, etc. visit our website at www.ccld.ca.gov
SUPERVISORS NAME: Juvenal Moctezuma
LICENSING EVALUATOR NAME: Caroline Harris
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2022
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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