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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 105620146
Report Date: 08/01/2023
Date Signed: 08/01/2023 02:35:50 PM

Document Has Been Signed on 08/01/2023 02:35 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:ROCHA, MARIELA FAMILY CHILD CAREFACILITY NUMBER:
105620146
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 5DATE:
08/01/2023
TYPE OF VISIT:Post LicensingUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Mariela Rocha TIME COMPLETED:
02:50 PM
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On 8/1/2023, Licensing Program Analysts (LPAs) Ruby Ocegueda and Valerie Mireles made a Case Management inspection. LPAs met with Licensee Mariela Rocha and toured facility inside and outside, census taken. Also present was her assistant. Purpose of today's inspection was to conduct a 90-day follow-up on initial Pre-licensing visit which took place on 05/02/2023. Reviewed a sample of children files, required forms were in the files. This is a one-story apartment home and children will have access to the following areas: living room, hallway bathroom, dining room, kitchen, and backyard. The apartment complex has a pool and surrounding iron that meets the regulatory requirements. The pool gate was self-latching and self-closing today. Off-limits rooms and closets are made inaccessible by use of plastic doorknob covers. Hours of operation are 5:00 A.M to 5:00 P.M Monday through Friday.

LPAs and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINS), Quarterly Updates, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Report continued to 809-C
SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO SOUTH CC, 1310 E. SHAW AVE,
FRESNO, CA 93710
FACILITY NAME: ROCHA, MARIELA FAMILY CHILD CARE
FACILITY NUMBER: 105620146
VISIT DATE: 08/01/2023
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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Per Chapter 3, Division 12, Title 22 of the California Code of Regulations, no deficiencies observed during today’s inspection. A notice of site visit was given and must remain posted for 30 days.

Licensee was provided a copy of appeal rights. Exit interview conducted and report was reviewed with the licensee, Mariela Rocha.

SUPERVISORS NAME: Susie Fanning
LICENSING EVALUATOR NAME: Ruby Ocegueda
LICENSING EVALUATOR SIGNATURE:

DATE: 08/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023
LIC809 (FAS) - (06/04)
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